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 $9.33 Median $14.13 Typical High $33.88 | Facility | None | $9.33 | $14.13 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $9.33 Typical High $19.05 | Professional | None | $8.51 | $9.33 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $11.48 | Professional | None | $6.76 | $7.94 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $11.48 Typical High $33.88 | Facility | None | $8.91 | $11.48 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $6.61 Typical High $15.49 | Professional | None | $5.37 | $6.61 | $15.49 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
CareSource Setting Professional Modifier None Typical Low $7.41 Median $11.48 Typical High $13.18 | Professional | None | $7.41 | $11.48 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $11.48 Typical High $38.02 | Facility | None | $7.41 | $11.48 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $13.18 Typical High $30.90 | Professional | None | $7.24 | $13.18 | $30.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $11.48 Median $28.18 Typical High $2,187.76 | Facility | None | $11.48 | $28.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $7.41 Median $9.12 Typical High $10.47 | Professional | None | $7.41 | $9.12 | $10.47 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.76 Typical High $13.80 | Professional | None | $3.98 | $6.76 | $13.80 |
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 $4.27 Median $4.68 Typical High $9.55 | Professional | 52 · Reduced service | $4.27 | $4.68 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.86 Typical High $3.80 | Professional | 53 · Discontinued | $1.70 | $1.86 | $3.80 |
Where Indiana sits
The same service costs 15.1 times more in Vermont than in Maryland. 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· 47th of 51
$9.12
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.