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 $3.63 Median $6.76 Typical High $16.60 | Facility | None | $3.63 | $6.76 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.63 Typical High $38.02 | Professional | None | $3.39 | $3.63 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.55 Median $4.47 Typical High $13.49 | Facility | None | $3.55 | $4.47 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.62 Median $2.14 Typical High $4.90 | Professional | None | $1.62 | $2.14 | $4.90 |
CareSource Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $4.47 Typical High $12.59 | Facility | None | $2.88 | $4.47 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $2.09 Median $5.37 Typical High $8.71 | Professional | None | $2.09 | $5.37 | $8.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $7.41 Median $11.22 Typical High $2,187.76 | Facility | None | $7.41 | $11.22 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.88 Median $3.63 Typical High $3.98 | Professional | None | $2.88 | $3.63 | $3.98 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.69 Typical High $5.37 | Professional | None | $1.86 | $2.69 | $5.37 |
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 $1.70 Median $1.82 Typical High $19.05 | Professional | 52 · Reduced service | $1.70 | $1.82 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.72 Typical High $7.59 | Professional | 53 · Discontinued | $0.68 | $0.72 | $7.59 |
Where Indiana sits
The same service costs 3.4 times more in Alaska 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
$3.39
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.