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 $2.82 Median $5.75 Typical High $12.59 | Facility | None | $2.82 | $5.75 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.82 Typical High $19.05 | Professional | None | $2.57 | $2.82 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.69 Median $3.47 Typical High $10.23 | Facility | None | $2.69 | $3.47 | $10.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.45 Median $1.95 Typical High $4.79 | Professional | None | $1.45 | $1.95 | $4.79 |
CareSource Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $2.24 Median $3.47 Typical High $11.48 | Facility | None | $2.24 | $3.47 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $4.17 Typical High $9.33 | Professional | None | $2.24 | $4.17 | $9.33 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $6.17 Median $8.51 Typical High $2,187.76 | Facility | None | $6.17 | $8.51 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.24 Median $2.75 Typical High $3.24 | Professional | None | $2.24 | $2.75 | $3.24 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.82 Typical High $4.17 | Professional | None | $1.45 | $2.82 | $4.17 |
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 $1.29 Median $1.41 Typical High $9.55 | Professional | 52 · Reduced service | $1.29 | $1.41 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.56 Typical High $3.80 | Professional | 53 · Discontinued | $0.51 | $0.56 | $3.80 |
Where Indiana sits
The same service costs 6.2 times more in Kansas 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
$2.75
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.