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 $8.32 Median $15.14 Typical High $37.15 | Facility | None | $8.32 | $15.14 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.32 Typical High $39.81 | Professional | None | $7.59 | $8.32 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $10.00 Typical High $30.20 | Facility | None | $7.94 | $10.00 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $4.47 Typical High $10.96 | Professional | None | $3.39 | $4.47 | $10.96 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $10.00 Typical High $28.84 | Facility | None | $6.61 | $10.00 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $11.22 Typical High $20.89 | Professional | None | $4.90 | $11.22 | $20.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $16.60 Median $25.12 Typical High $2,187.76 | Facility | None | $16.60 | $25.12 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6.61 Median $8.13 Typical High $9.55 | Professional | None | $6.61 | $8.13 | $9.55 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.46 Typical High $12.02 | Professional | None | $4.27 | $6.46 | $12.02 |
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 $3.80 Median $4.17 Typical High $19.95 | Professional | 52 · Reduced service | $3.80 | $4.17 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.66 Typical High $7.94 | Professional | 53 · Discontinued | $1.51 | $1.66 | $7.94 |
Where Indiana sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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
$7.59
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.