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 $16.60 Median $30.90 Typical High $75.86 | Facility | None | $16.60 | $30.90 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $33.11 | Professional | None | $15.14 | $16.60 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $20.42 Typical High $61.66 | Facility | None | $16.22 | $20.42 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $5.13 Typical High $22.39 | Professional | None | $2.45 | $5.13 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $20.42 Typical High $57.54 | Facility | None | $3.31 | $20.42 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $12.30 Typical High $38.90 | Professional | None | $2.95 | $12.30 | $38.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $5.62 Median $51.29 Typical High $2,187.76 | Facility | None | $5.62 | $51.29 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $18.20 | Professional | None | $13.18 | $16.60 | $18.20 |
United Setting Professional Modifier None Typical Low $2.04 Median $9.77 Typical High $24.55 | Professional | None | $2.04 | $9.77 | $24.55 |
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 $7.59 Median $8.32 Typical High $16.60 | Professional | 52 · Reduced service | $7.59 | $8.32 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.31 Typical High $6.61 | Professional | 53 · Discontinued | $3.09 | $3.31 | $6.61 |
Where Indiana sits
The same service costs 7.6 times more in Alaska 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· 30th of 51
$14.13
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.