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 $8.71 Median $11.48 Typical High $32.36 | Facility | None | $8.71 | $11.48 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $9.77 Typical High $34.67 | Professional | None | $8.51 | $9.77 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $6.46 Median $7.41 Typical High $10.72 | Professional | None | $6.46 | $7.41 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $10.72 Typical High $32.36 | Facility | None | $8.51 | $10.72 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $21.88 | Professional | None | $5.25 | $8.32 | $21.88 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
CareSource Setting Professional Modifier None Typical Low $6.92 Median $10.72 Typical High $12.30 | Professional | None | $6.92 | $10.72 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $10.72 Typical High $36.31 | Facility | None | $6.92 | $10.72 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $26.92 Typical High $56.23 | Professional | None | $15.49 | $26.92 | $56.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $19.50 Median $26.92 Typical High $2,187.76 | Facility | None | $19.50 | $26.92 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $7.08 Median $9.12 Typical High $48.98 | Professional | None | $7.08 | $9.12 | $48.98 |
United Setting Professional Modifier None Typical Low $4.47 Median $8.32 Typical High $12.88 | Professional | None | $4.47 | $8.32 | $12.88 |
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 $4.07 Median $4.37 Typical High $31.62 | Professional | 52 · Reduced service | $4.07 | $4.37 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.78 Typical High $12.59 | Professional | 53 · Discontinued | $1.62 | $1.78 | $12.59 |
Where Indiana sits
The same service costs 7.9 times more in Vermont than in Washington, DC. 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· 42nd of 51
$10.72
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.