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 $17.78 Median $23.99 Typical High $41.69 | Facility | None | $17.78 | $23.99 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $41.69 | Professional | None | $16.22 | $17.78 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $21.88 | Professional | None | $10.96 | $15.14 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $64.57 | Facility | None | $16.98 | $21.88 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $30.20 | Professional | None | $9.12 | $11.48 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $25.12 | Professional | None | $14.13 | $21.88 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $21.88 Typical High $72.44 | Facility | None | $14.13 | $21.88 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $27.54 Typical High $58.88 | Professional | None | $13.80 | $27.54 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $2,187.76 | Facility | None | $38.90 | $53.70 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $14.13 Median $17.38 Typical High $19.95 | Professional | None | $14.13 | $17.38 | $19.95 |
United Setting Professional Modifier None Typical Low $9.12 Median $17.78 Typical High $26.30 | Professional | None | $9.12 | $17.78 | $26.30 |
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 $8.13 Median $8.91 Typical High $45.71 | Professional | 52 · Reduced service | $8.13 | $8.91 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.55 Typical High $18.20 | Professional | 53 · Discontinued | $3.24 | $3.55 | $18.20 |
Where Indiana sits
The same service costs 4.8 times more in Vermont than in Maryland. 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· 46th of 51
$17.78
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.