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 $3.89 Median $5.75 Typical High $12.88 | Facility | None | $3.89 | $5.75 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.98 Typical High $15.49 | Professional | None | $3.55 | $3.98 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $2.82 Median $3.24 Typical High $3.55 | Professional | None | $2.82 | $3.24 | $3.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.72 Median $4.79 Typical High $14.13 | Facility | None | $3.72 | $4.79 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $2.69 Typical High $6.61 | Professional | None | $2.24 | $2.69 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
CareSource Setting Professional Modifier None Typical Low $3.09 Median $4.79 Typical High $5.50 | Professional | None | $3.09 | $4.79 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $4.79 Typical High $15.85 | Facility | None | $3.09 | $4.79 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $5.89 Typical High $12.88 | Professional | None | $2.95 | $5.89 | $12.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $8.51 Median $11.75 Typical High $2,187.76 | Facility | None | $8.51 | $11.75 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.09 Median $3.72 Typical High $4.07 | Professional | None | $3.09 | $3.72 | $4.07 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.89 Typical High $5.75 | Professional | None | $2.00 | $3.89 | $5.75 |
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 $1.78 Median $1.95 Typical High $3.98 | Professional | 52 · Reduced service | $1.78 | $1.95 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.78 Typical High $1.58 | Professional | 53 · Discontinued | $0.71 | $0.78 | $1.58 |
Where Indiana sits
The same service costs 11.7 times more in Vermont 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· 45th of 51
$3.89
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.