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 $28.84 Median $50.12 Typical High $131.83 | Facility | None | $28.84 | $50.12 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $295.12 | Professional | None | $26.30 | $28.84 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $107.15 | Facility | None | $28.18 | $35.48 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $44.67 | Professional | None | $17.38 | $21.38 | $44.67 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $35.48 Typical High $117.49 | Facility | None | $22.91 | $35.48 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $43.65 Typical High $95.50 | Professional | None | $22.39 | $43.65 | $95.50 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $63.10 Median $89.13 Typical High $2,187.76 | Facility | None | $63.10 | $89.13 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $33.11 | Professional | None | $22.91 | $28.84 | $33.11 |
United Setting Professional Modifier None Typical Low $14.79 Median $28.84 Typical High $42.66 | Professional | None | $14.79 | $28.84 | $42.66 |
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 $13.18 Median $14.45 Typical High $144.54 | Professional | 52 · Reduced service | $13.18 | $14.45 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.75 Typical High $58.88 | Professional | 53 · Discontinued | $5.25 | $5.75 | $58.88 |
Where Indiana sits
The same service costs 4.3 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· 40th of 51
$28.18
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.