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 $33.88 Typical High $75.86 | Facility | None | $16.60 | $33.88 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $208.93 | Professional | None | $15.49 | $16.60 | $208.93 |
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 $5.89 Median $10.00 Typical High $26.30 | Professional | None | $5.89 | $10.00 | $26.30 |
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 $13.18 Median $20.42 Typical High $67.61 | Facility | None | $13.18 | $20.42 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $25.70 Typical High $54.95 | Professional | None | $12.88 | $25.70 | $54.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $2,187.76 | Facility | None | $37.15 | $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 $8.51 Median $16.98 Typical High $24.55 | Professional | None | $8.51 | $16.98 | $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 $102.33 | Professional | 52 · Reduced service | $7.59 | $8.32 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.39 Typical High $41.69 | Professional | 53 · Discontinued | $3.09 | $3.39 | $41.69 |
Where Indiana sits
The same service costs 4.7 times more in Kansas than in West Virginia. 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· 43rd of 51
$16.22
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.