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 $7.94 Median $14.45 Typical High $36.31 | Facility | None | $7.94 | $14.45 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $25.70 | Professional | None | $7.24 | $7.94 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $9.77 Typical High $29.51 | Facility | None | $7.76 | $9.77 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $5.13 Typical High $12.02 | Professional | None | $4.07 | $5.13 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $10.96 Typical High $28.84 | Facility | None | $6.31 | $10.96 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $12.59 Typical High $21.88 | Professional | None | $5.50 | $12.59 | $21.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $17.38 Median $24.55 Typical High $2,187.76 | Facility | None | $17.38 | $24.55 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6.31 Median $7.94 Typical High $8.71 | Professional | None | $6.31 | $7.94 | $8.71 |
United Setting Professional Modifier None Typical Low $4.07 Median $7.08 Typical High $11.75 | Professional | None | $4.07 | $7.08 | $11.75 |
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 $3.63 Median $3.98 Typical High $12.88 | Professional | 52 · Reduced service | $3.63 | $3.98 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.58 Typical High $5.25 | Professional | 53 · Discontinued | $1.45 | $1.58 | $5.25 |
Where Indiana sits
The same service costs 3.6 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· 45th of 51
$7.41
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.