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 $7.41 Median $9.77 Typical High $28.84 | Facility | None | $7.41 | $9.77 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $28.84 | Professional | None | $6.76 | $8.13 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $4.47 Median $6.03 Typical High $7.59 | Professional | None | $4.47 | $6.03 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $9.12 Typical High $26.92 | Facility | None | $7.08 | $9.12 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $12.59 | Professional | None | $4.27 | $5.13 | $12.59 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $5.89 Median $9.12 Typical High $10.47 | Professional | None | $5.89 | $9.12 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $9.12 Typical High $30.20 | Facility | None | $5.89 | $9.12 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $11.22 Typical High $24.55 | Professional | None | $5.75 | $11.22 | $24.55 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $16.22 Median $22.39 Typical High $2,187.76 | Facility | None | $16.22 | $22.39 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $7.94 | Professional | None | $5.89 | $7.24 | $7.94 |
United Setting Professional Modifier None Typical Low $3.80 Median $7.41 Typical High $10.96 | Professional | None | $3.80 | $7.41 | $10.96 |
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 $3.39 Median $3.72 Typical High $21.88 | Professional | 52 · Reduced service | $3.39 | $3.72 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.48 Typical High $8.71 | Professional | 53 · Discontinued | $1.35 | $1.48 | $8.71 |
Where Indiana sits
The same service costs 10.7 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
$7.41
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.