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 $3.24 Median $6.17 Typical High $14.79 | Facility | None | $3.24 | $6.17 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.24 Typical High $19.05 | Professional | None | $3.02 | $3.24 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $3.98 Typical High $12.02 | Facility | None | $3.16 | $3.98 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.55 Median $2.04 Typical High $5.13 | Professional | None | $1.55 | $2.04 | $5.13 |
CareSource Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $3.98 Typical High $12.30 | Facility | None | $2.69 | $3.98 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $5.37 Typical High $9.33 | Professional | None | $2.34 | $5.37 | $9.33 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $7.08 Median $10.00 Typical High $2,187.76 | Facility | None | $7.08 | $10.00 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $3.98 | Professional | None | $2.57 | $3.24 | $3.98 |
United Setting Professional Modifier None Typical Low $1.66 Median $3.09 Typical High $4.79 | Professional | None | $1.66 | $3.09 | $4.79 |
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 $1.51 Median $1.62 Typical High $9.55 | Professional | 52 · Reduced service | $1.51 | $1.62 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.65 Typical High $3.80 | Professional | 53 · Discontinued | $0.60 | $0.65 | $3.80 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 45th of 51
$3.09
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.