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 $5.89 Median $10.96 Typical High $26.30 | Facility | None | $5.89 | $10.96 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.89 Typical High $48.98 | Professional | None | $5.37 | $5.89 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $7.24 Typical High $21.38 | Facility | None | $5.75 | $7.24 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $4.07 Typical High $8.91 | Professional | None | $3.24 | $4.07 | $8.91 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $7.24 Typical High $21.88 | Facility | None | $4.68 | $7.24 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $8.51 Typical High $17.78 | Professional | None | $4.27 | $8.51 | $17.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $12.88 Median $18.20 Typical High $2,187.76 | Facility | None | $12.88 | $18.20 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $4.68 Median $5.75 Typical High $6.46 | Professional | None | $4.68 | $5.75 | $6.46 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.79 Typical High $8.71 | Professional | None | $3.02 | $4.79 | $8.71 |
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 $2.69 Median $2.95 Typical High $24.55 | Professional | 52 · Reduced service | $2.69 | $2.95 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.17 Typical High $9.77 | Professional | 53 · Discontinued | $1.07 | $1.17 | $9.77 |
Where Indiana sits
The same service costs 4.1 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· 48th of 51
$5.37
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.