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 $3.09 Median $4.68 Typical High $7.24 | Facility | None | $3.09 | $4.68 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.16 Typical High $12.30 | Professional | None | $2.82 | $3.16 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.02 Median $3.80 Typical High $11.48 | Facility | None | $3.02 | $3.80 | $11.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.62 Median $2.04 Typical High $4.17 | Professional | None | $1.62 | $2.04 | $4.17 |
CareSource Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
CareSource Setting Professional Modifier None Typical Low $2.45 Median $3.80 Typical High $4.37 | Professional | None | $2.45 | $3.80 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $2.45 Median $3.80 Typical High $11.48 | Facility | None | $2.45 | $3.80 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $4.68 Typical High $9.33 | Professional | None | $2.24 | $4.68 | $9.33 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $6.92 Median $9.55 Typical High $2,187.76 | Facility | None | $6.92 | $9.55 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.45 Median $3.02 Typical High $3.31 | Professional | None | $2.45 | $3.02 | $3.31 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.82 Typical High $4.57 | Professional | None | $1.58 | $2.82 | $4.57 |
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 $1.45 Median $1.55 Typical High $10.96 | Professional | 52 · Reduced service | $1.45 | $1.55 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.62 Typical High $4.37 | Professional | 53 · Discontinued | $0.56 | $0.62 | $4.37 |
Where Indiana sits
The same service costs 11.7 times more in Minnesota 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· 49th of 51
$3.02
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.