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 $1.95 Median $2.63 Typical High $8.71 | Facility | None | $1.95 | $2.63 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $1.95 Typical High $3.98 | Professional | None | $1.78 | $1.95 | $3.98 |
Ambetter Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $2.34 | Professional | None | $1.20 | $1.20 | $2.34 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.26 Median $1.26 Typical High $1.48 | Professional | QW · Waived lab test | $1.26 | $1.26 | $1.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.86 Median $2.34 Typical High $7.08 | Facility | None | $1.86 | $2.34 | $7.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $1.17 Typical High $1.82 | Professional | None | $1.12 | $1.17 | $1.82 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $1.62 Median $2.34 Typical High $4.79 | Professional | QW · Waived lab test | $1.62 | $2.34 | $4.79 |
CareSource Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
CareSource Setting Professional Modifier None Typical Low $1.55 Median $2.34 Typical High $2.75 | Professional | None | $1.55 | $2.34 | $2.75 |
Cigna Setting Facility Modifier None Typical Low $1.55 Median $2.34 Typical High $7.94 | Facility | None | $1.55 | $2.34 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $2.69 Typical High $6.03 | Professional | None | $1.78 | $2.69 | $6.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $4.79 Median $912.01 Typical High $2,187.76 | Facility | None | $4.79 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $1.55 Median $1.95 Typical High $2.40 | Professional | QW · Waived lab test | $1.55 | $1.95 | $2.40 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.40 Typical High $3.47 | Professional | None | $1.41 | $2.40 | $3.47 |
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 $0.89 Median $0.98 Typical High $7.59 | Professional | 52 · Reduced service | $0.89 | $0.98 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.39 Typical High $3.02 | Professional | 53 · Discontinued | $0.36 | $0.39 | $3.02 |
Where Indiana sits
The same service costs 17.0 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· 49th of 51
$1.95
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.