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 $4.47 Median $6.03 Typical High $20.42 | Facility | None | $4.47 | $6.03 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.47 Typical High $8.32 | Professional | None | $4.07 | $4.47 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.37 Median $5.50 Typical High $16.60 | Facility | None | $4.37 | $5.50 | $16.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $2.82 Typical High $6.61 | Professional | None | $2.24 | $2.82 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
CareSource Setting Professional Modifier None Typical Low $3.55 Median $5.50 Typical High $6.31 | Professional | None | $3.55 | $5.50 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $5.50 Typical High $15.85 | Facility | None | $3.55 | $5.50 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $6.76 Typical High $12.88 | Professional | None | $3.09 | $6.76 | $12.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $9.77 Median $13.80 Typical High $2,187.76 | Facility | None | $9.77 | $13.80 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.55 Median $4.47 Typical High $4.79 | Professional | None | $3.55 | $4.47 | $4.79 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.98 Typical High $6.61 | Professional | None | $2.29 | $3.98 | $6.61 |
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 $2.04 Median $2.24 Typical High $4.07 | Professional | 52 · Reduced service | $2.04 | $2.24 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.89 Typical High $1.66 | Professional | 53 · Discontinued | $0.81 | $0.89 | $1.66 |
Where Indiana sits
The same service costs 3.3 times more in Alaska than in Nebraska. 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
$4.17
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.