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 $3.98 Median $7.59 Typical High $17.78 | Facility | None | $3.98 | $7.59 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $3.98 Typical High $36.31 | Professional | None | $3.63 | $3.98 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $4.79 Typical High $14.45 | Facility | None | $3.80 | $4.79 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $2.75 Typical High $6.31 | Professional | None | $2.14 | $2.75 | $6.31 |
CareSource Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $4.79 Typical High $15.14 | Facility | None | $3.16 | $4.79 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $6.92 Typical High $12.30 | Professional | None | $2.95 | $6.92 | $12.30 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $8.71 Median $12.02 Typical High $2,187.76 | Facility | None | $8.71 | $12.02 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.16 Median $3.89 Typical High $4.79 | Professional | None | $3.16 | $3.89 | $4.79 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.80 Typical High $5.89 | Professional | None | $2.04 | $3.80 | $5.89 |
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 $1.82 Median $2.00 Typical High $18.20 | Professional | 52 · Reduced service | $1.82 | $2.00 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.79 Typical High $7.24 | Professional | 53 · Discontinued | $0.72 | $0.79 | $7.24 |
Where Indiana sits
The same service costs 3.2 times more in Texas than in New Jersey. 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
$3.80
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.