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 $6.76 Median $10.00 Typical High $30.20 | Facility | None | $6.76 | $10.00 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.76 Typical High $13.80 | Professional | None | $6.17 | $6.76 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $8.13 Typical High $24.55 | Facility | None | $6.46 | $8.13 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $4.07 Typical High $6.31 | Professional | None | $3.89 | $4.07 | $6.31 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $5.62 Median $8.13 Typical High $16.22 | Professional | QW · Waived lab test | $5.62 | $8.13 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
CareSource Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $9.33 | Professional | None | $5.37 | $8.13 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $8.13 Typical High $27.54 | Facility | None | $5.37 | $8.13 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $9.55 Typical High $22.39 | Professional | None | $5.75 | $9.55 | $22.39 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $16.98 Median $912.01 Typical High $2,187.76 | Facility | None | $16.98 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $5.37 Median $6.61 Typical High $7.24 | Professional | QW · Waived lab test | $5.37 | $6.61 | $7.24 |
United Setting Professional Modifier None Typical Low $3.47 Median $6.76 Typical High $10.00 | Professional | None | $3.47 | $6.76 | $10.00 |
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 $3.09 Median $3.39 Typical High $10.00 | Professional | 52 · Reduced service | $3.09 | $3.39 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.35 Typical High $3.98 | Professional | 53 · Discontinued | $1.23 | $1.35 | $3.98 |
Where Indiana sits
The same service costs 3.0 times more in Alaska 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· 49th of 51
$6.31
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.