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 $5.50 Median $7.24 Typical High $16.98 | Facility | None | $5.50 | $7.24 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $16.98 | Professional | None | $5.01 | $6.03 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $4.47 Typical High $5.75 | Professional | None | $3.39 | $4.47 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.25 Median $6.76 Typical High $19.95 | Facility | None | $5.25 | $6.76 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.75 Median $5.13 Typical High $8.71 | Professional | None | $2.75 | $5.13 | $8.71 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
CareSource Setting Professional Modifier None Typical Low $4.37 Median $6.76 Typical High $7.76 | Professional | None | $4.37 | $6.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $6.76 Typical High $22.39 | Facility | None | $4.37 | $6.76 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $8.32 Typical High $18.20 | Professional | None | $4.37 | $8.32 | $18.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $12.02 Median $16.60 Typical High $2,187.76 | Facility | None | $12.02 | $16.60 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $4.37 Median $5.37 Typical High $6.46 | Professional | None | $4.37 | $5.37 | $6.46 |
United Setting Professional Modifier None Typical Low $2.82 Median $5.62 Typical High $8.13 | Professional | None | $2.82 | $5.62 | $8.13 |
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 $2.51 Median $2.75 Typical High $10.00 | Professional | 52 · Reduced service | $2.51 | $2.75 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.10 Typical High $3.98 | Professional | 53 · Discontinued | $1.00 | $1.10 | $3.98 |
Where Indiana sits
The same service costs 10.0 times more in Minnesota 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· 39th 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.