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 $21.88 Median $29.51 Typical High $97.72 | Facility | None | $21.88 | $29.51 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $138.04 | Professional | None | $19.50 | $21.88 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $16.60 | Professional | None | $14.45 | $14.45 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $26.92 Typical High $79.43 | Facility | None | $20.89 | $26.92 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $29.51 | Professional | None | $8.13 | $10.96 | $29.51 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $26.92 Typical High $75.86 | Facility | None | $17.38 | $26.92 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $27.54 Typical High $51.29 | Professional | None | $11.75 | $27.54 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $2,187.76 | Facility | None | $42.66 | $66.07 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $24.55 | Professional | None | $17.38 | $21.38 | $24.55 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $32.36 | Professional | None | $11.22 | $15.85 | $32.36 |
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 $10.00 Median $10.96 Typical High $69.18 | Professional | 52 · Reduced service | $10.00 | $10.96 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.37 Typical High $27.54 | Professional | 53 · Discontinued | $3.98 | $4.37 | $27.54 |
Where Indiana sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 41st of 51
$19.95
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.