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 $2.95 Median $4.37 Typical High $13.18 | Facility | None | $2.95 | $4.37 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.95 Typical High $6.03 | Professional | None | $2.69 | $2.95 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.40 Typical High $3.55 | Professional | None | $2.14 | $2.40 | $3.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.82 Median $3.55 Typical High $10.72 | Facility | None | $2.82 | $3.55 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $1.78 Typical High $2.75 | Professional | None | $1.70 | $1.78 | $2.75 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $3.55 Median $3.89 Typical High $6.03 | Professional | QW · Waived lab test | $3.55 | $3.89 | $6.03 |
CareSource Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
CareSource Setting Professional Modifier None Typical Low $2.34 Median $3.55 Typical High $4.07 | Professional | None | $2.34 | $3.55 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $3.55 Typical High $12.02 | Facility | None | $2.34 | $3.55 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $4.27 Typical High $9.77 | Professional | None | $2.29 | $4.27 | $9.77 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $6.92 Median $912.01 Typical High $2,187.76 | Facility | None | $6.92 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $2.34 Median $2.88 Typical High $3.24 | Professional | QW · Waived lab test | $2.34 | $2.88 | $3.24 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.55 Typical High $4.47 | Professional | None | $2.14 | $3.55 | $4.47 |
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 $1.35 Median $1.48 Typical High $3.02 | Professional | 52 · Reduced service | $1.35 | $1.48 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.59 Typical High $1.20 | Professional | 53 · Discontinued | $0.54 | $0.59 | $1.20 |
Where Indiana sits
The same service costs 3.5 times more in Kansas than in Tennessee. 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· 48th of 51
$2.88
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.