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 $5.62 Median $8.51 Typical High $16.98 | Facility | None | $5.62 | $8.51 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.62 Typical High $16.98 | Professional | None | $5.13 | $5.62 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $4.79 Typical High $6.92 | Professional | None | $3.47 | $4.79 | $6.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $6.92 Typical High $20.42 | Facility | None | $5.37 | $6.92 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.89 Typical High $9.55 | Professional | None | $3.24 | $3.89 | $9.55 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
CareSource Setting Professional Modifier None Typical Low $4.47 Median $6.92 Typical High $7.94 | Professional | None | $4.47 | $6.92 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $6.92 Typical High $22.91 | Facility | None | $4.47 | $6.92 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $9.77 Typical High $18.62 | Professional | None | $4.37 | $9.77 | $18.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $12.30 Median $16.98 Typical High $2,187.76 | Facility | None | $12.30 | $16.98 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $6.46 | Professional | None | $4.47 | $5.50 | $6.46 |
United Setting Professional Modifier None Typical Low $2.88 Median $5.62 Typical High $8.32 | Professional | None | $2.88 | $5.62 | $8.32 |
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 $2.57 Median $2.82 Typical High $20.89 | Professional | 52 · Reduced service | $2.57 | $2.82 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.12 Typical High $8.32 | Professional | 53 · Discontinued | $1.02 | $1.12 | $8.32 |
Where Indiana sits
The same service costs 13.5 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· 45th of 51
$5.62
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.