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 $13.80 Median $18.20 Typical High $34.67 | Facility | None | $13.80 | $18.20 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $34.67 | Professional | None | $12.59 | $15.14 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $16.98 | Professional | None | $8.51 | $8.51 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $16.98 Typical High $51.29 | Facility | None | $13.49 | $16.98 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $9.77 Typical High $21.88 | Professional | None | $7.94 | $9.77 | $21.88 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $19.50 | Professional | None | $10.96 | $16.98 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $16.98 Typical High $56.23 | Facility | None | $10.96 | $16.98 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $23.99 Typical High $45.71 | Professional | None | $10.72 | $23.99 | $45.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $30.20 Median $42.66 Typical High $2,187.76 | Facility | None | $30.20 | $42.66 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $15.14 | Professional | None | $10.96 | $13.80 | $15.14 |
United Setting Professional Modifier None Typical Low $7.08 Median $12.30 Typical High $20.42 | Professional | None | $7.08 | $12.30 | $20.42 |
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 $6.31 Median $6.92 Typical High $36.31 | Professional | 52 · Reduced service | $6.31 | $6.92 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.75 Typical High $14.45 | Professional | 53 · Discontinued | $2.51 | $2.75 | $14.45 |
Where Indiana sits
The same service costs 8.5 times more in Vermont than in Rhode Island. 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
$13.80
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.