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 $15.14 Median $22.39 Typical High $34.67 | Facility | None | $15.14 | $22.39 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $30.90 | Professional | None | $13.80 | $15.14 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $18.20 | Professional | None | $9.12 | $12.88 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $18.20 Typical High $54.95 | Facility | None | $14.45 | $18.20 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $10.72 Typical High $25.70 | Professional | None | $8.71 | $10.72 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $18.20 Typical High $21.38 | Professional | None | $12.02 | $18.20 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $18.20 Typical High $61.66 | Facility | None | $12.02 | $18.20 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $23.44 Typical High $50.12 | Professional | None | $11.75 | $23.44 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $33.11 Median $45.71 Typical High $2,187.76 | Facility | None | $33.11 | $45.71 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $16.98 | Professional | None | $12.02 | $14.79 | $16.98 |
United Setting Professional Modifier None Typical Low $7.76 Median $15.14 Typical High $22.39 | Professional | None | $7.76 | $15.14 | $22.39 |
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 $6.92 Median $7.59 Typical High $51.29 | Professional | 52 · Reduced service | $6.92 | $7.59 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.02 Typical High $20.42 | Professional | 53 · Discontinued | $2.75 | $3.02 | $20.42 |
Where Indiana sits
The same service costs 7.9 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· 43rd of 51
$15.14
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.