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 $10.47 Median $21.38 Typical High $46.77 | Facility | None | $10.47 | $21.38 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $72.44 | Professional | None | $9.55 | $10.47 | $72.44 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $12.88 Typical High $38.02 | Facility | None | $10.00 | $12.88 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $7.76 Typical High $17.78 | Professional | None | $6.31 | $7.76 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $12.88 Typical High $42.66 | Facility | None | $8.32 | $12.88 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $16.22 Typical High $34.67 | Professional | None | $8.13 | $16.22 | $34.67 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $22.91 Median $31.62 Typical High $2,187.76 | Facility | None | $22.91 | $31.62 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.32 Median $10.23 Typical High $12.02 | Professional | None | $8.32 | $10.23 | $12.02 |
United Setting Professional Modifier None Typical Low $5.37 Median $10.47 Typical High $15.49 | Professional | None | $5.37 | $10.47 | $15.49 |
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 $4.79 Median $5.25 Typical High $36.31 | Professional | 52 · Reduced service | $4.79 | $5.25 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.09 Typical High $14.45 | Professional | 53 · Discontinued | $1.91 | $2.09 | $14.45 |
Where Indiana sits
The same service costs 3.2 times more in Kansas than in Georgia. 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· 44th of 51
$10.23
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.