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 $30.20 Median $42.66 Typical High $114.82 | Facility | None | $30.20 | $42.66 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $223.87 | Professional | None | $23.44 | $25.12 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $30.90 Typical High $30.90 | Professional | None | $18.62 | $30.90 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $30.90 Typical High $93.33 | Facility | None | $24.55 | $30.90 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $42.66 | Professional | None | $14.79 | $18.20 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $30.90 Typical High $104.71 | Facility | None | $19.95 | $30.90 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $38.90 Typical High $83.18 | Professional | None | $19.95 | $38.90 | $83.18 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $56.23 Median $77.62 Typical High $2,187.76 | Facility | None | $56.23 | $77.62 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $28.84 | Professional | None | $20.42 | $25.12 | $28.84 |
United Setting Professional Modifier None Typical Low $12.88 Median $23.99 Typical High $37.15 | Professional | None | $12.88 | $23.99 | $37.15 |
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 $11.75 Median $12.59 Typical High $112.20 | Professional | 52 · Reduced service | $11.75 | $12.59 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.13 Typical High $44.67 | Professional | 53 · Discontinued | $4.68 | $5.13 | $44.67 |
Where Indiana sits
The same service costs 4.2 times more in Kansas than in Alabama. 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
$24.55
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.