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 $12.02 Median $16.22 Typical High $27.54 | Facility | None | $12.02 | $16.22 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $24.55 | Professional | None | $10.96 | $12.02 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.23 | Professional | None | $8.71 | $8.71 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $14.45 Typical High $43.65 | Facility | None | $11.48 | $14.45 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $8.32 Typical High $19.05 | Professional | None | $6.92 | $8.32 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
CareSource Setting Professional Modifier None Typical Low $9.55 Median $14.45 Typical High $16.60 | Professional | None | $9.55 | $14.45 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $14.45 Typical High $48.98 | Facility | None | $9.55 | $14.45 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $16.98 Typical High $37.15 | Professional | None | $9.33 | $16.98 | $37.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $13.80 Median $36.31 Typical High $2,187.76 | Facility | None | $13.80 | $36.31 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $13.49 | Professional | None | $9.55 | $11.75 | $13.49 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.71 Typical High $17.78 | Professional | None | $4.79 | $8.71 | $17.78 |
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 $5.50 Median $6.03 Typical High $20.89 | Professional | 52 · Reduced service | $5.50 | $6.03 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.40 Typical High $8.32 | Professional | 53 · Discontinued | $2.19 | $2.40 | $8.32 |
Where Indiana sits
The same service costs 8.1 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
$11.75
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.