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 $13.80 Median $28.18 Typical High $63.10 | Facility | None | $13.80 | $28.18 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.80 Typical High $218.78 | Professional | None | $12.88 | $13.80 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $15.85 Typical High $51.29 | Facility | None | $12.59 | $15.85 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $16.98 Typical High $33.88 | Professional | None | $8.32 | $16.98 | $33.88 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $16.98 Typical High $57.54 | Facility | None | $10.96 | $16.98 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $69.18 | Professional | None | $19.95 | $32.36 | $69.18 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $2,187.76 | Facility | None | $30.90 | $42.66 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $56.23 | Professional | None | $11.22 | $14.13 | $56.23 |
United Setting Professional Modifier None Typical Low $7.08 Median $13.80 Typical High $20.42 | Professional | None | $7.08 | $13.80 | $20.42 |
3 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 $6.46 Median $6.92 Typical High $109.65 | Professional | 52 · Reduced service | $6.46 | $6.92 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.82 Typical High $43.65 | Professional | 53 · Discontinued | $2.51 | $2.82 | $43.65 |
Ambetter Setting Professional Modifier GY · Excluded by law Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | GY · Excluded by law | $11.75 | $11.75 | $11.75 |
Where Indiana sits
The same service costs 3.7 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· 34th of 51
$16.98
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.