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 $14.13 Median $28.84 Typical High $63.10 | Facility | None | $14.13 | $28.84 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $288.40 | Professional | None | $12.88 | $14.13 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $17.38 Typical High $51.29 | Facility | None | $13.49 | $17.38 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $9.77 Typical High $22.39 | Professional | None | $8.13 | $9.77 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $17.38 Typical High $57.54 | Facility | None | $11.22 | $17.38 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $24.55 Typical High $46.77 | Professional | None | $10.96 | $24.55 | $46.77 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $2,187.76 | Facility | None | $30.90 | $42.66 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $15.85 | Professional | None | $11.22 | $13.80 | $15.85 |
United Setting Professional Modifier None Typical Low $7.24 Median $14.13 Typical High $20.89 | Professional | None | $7.24 | $14.13 | $20.89 |
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 $6.46 Median $7.08 Typical High $144.54 | Professional | 52 · Reduced service | $6.46 | $7.08 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.82 Typical High $57.54 | Professional | 53 · Discontinued | $2.57 | $2.82 | $57.54 |
Where Indiana sits
The same service costs 3.3 times more in Kansas 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· 47th of 51
$13.80
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.