How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $4.90 Median $7.41 Typical High $15.14 | Facility | None | $4.90 | $7.41 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $4.90 Typical High $10.00 | Professional | None | $4.57 | $4.90 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $6.03 | Professional | None | $3.63 | $4.07 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $6.03 Typical High $18.20 | Facility | None | $4.79 | $6.03 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $4.57 Typical High $7.76 | Professional | None | $2.88 | $4.57 | $7.76 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
CareSource Setting Professional Modifier None Typical Low $3.89 Median $6.03 Typical High $6.92 | Professional | None | $3.89 | $6.03 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $6.03 Typical High $20.42 | Facility | None | $3.89 | $6.03 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $7.41 Typical High $15.14 | Professional | None | $3.80 | $7.41 | $15.14 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $10.96 Median $15.14 Typical High $2,187.76 | Facility | None | $10.96 | $15.14 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.98 Median $4.90 Typical High $5.62 | Professional | None | $3.98 | $4.90 | $5.62 |
United Setting Professional Modifier None Typical Low $2.51 Median $5.01 Typical High $7.24 | Professional | None | $2.51 | $5.01 | $7.24 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.29 Median $2.45 Typical High $5.01 | Professional | 52 · Reduced service | $2.29 | $2.45 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $1.00 Typical High $2.00 | Professional | 53 · Discontinued | $0.91 | $1.00 | $2.00 |
Where Indiana sits
The same service costs 6.2 times more in Vermont than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Indiana· 37th of 51
$5.89
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.