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 $17.38 Median $31.62 Typical High $77.62 | Facility | None | $17.38 | $31.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $52.48 | Professional | None | $15.85 | $17.38 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $63.10 | Facility | None | $16.60 | $20.89 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $12.30 Typical High $26.30 | Professional | None | $9.33 | $12.30 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $20.89 Typical High $63.10 | Facility | None | $13.80 | $20.89 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $25.70 Typical High $51.29 | Professional | None | $12.02 | $25.70 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $38.02 Median $52.48 Typical High $2,187.76 | Facility | None | $38.02 | $52.48 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $13.80 Median $16.98 Typical High $19.05 | Professional | None | $13.80 | $16.98 | $19.05 |
United Setting Professional Modifier None Typical Low $8.91 Median $14.79 Typical High $25.70 | Professional | None | $8.91 | $14.79 | $25.70 |
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 $7.94 Median $8.71 Typical High $26.30 | Professional | 52 · Reduced service | $7.94 | $8.71 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.47 Typical High $10.72 | Professional | 53 · Discontinued | $3.16 | $3.47 | $10.72 |
Where Indiana sits
The same service costs 3.4 times more in Kansas 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· 47th of 51
$16.22
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.