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 $3.24 Median $4.90 Typical High $7.59 | Facility | None | $3.24 | $4.90 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.24 Typical High $6.61 | Professional | None | $3.02 | $3.24 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $2.69 Typical High $2.75 | Professional | None | $2.40 | $2.69 | $2.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $3.98 Typical High $12.02 | Facility | None | $3.16 | $3.98 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.29 Typical High $5.62 | Professional | None | $1.91 | $2.29 | $5.62 |
CareSource Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
CareSource Setting Professional Modifier None Typical Low $2.57 Median $3.98 Typical High $4.57 | Professional | None | $2.57 | $3.98 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $3.98 Typical High $13.49 | Facility | None | $2.57 | $3.98 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $5.62 Typical High $10.96 | Professional | None | $2.57 | $5.62 | $10.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $7.24 Median $10.00 Typical High $2,187.76 | Facility | None | $7.24 | $10.00 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $3.98 | Professional | None | $2.57 | $3.24 | $3.98 |
United Setting Professional Modifier None Typical Low $1.70 Median $3.39 Typical High $4.79 | Professional | None | $1.70 | $3.39 | $4.79 |
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 $1.51 Median $1.62 Typical High $3.31 | Professional | 52 · Reduced service | $1.51 | $1.62 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.65 Typical High $1.32 | Professional | 53 · Discontinued | $0.60 | $0.65 | $1.32 |
Where Indiana sits
The same service costs 13.8 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
$3.24
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.