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 $18.62 Median $28.18 Typical High $85.11 | Facility | None | $18.62 | $28.18 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $18.62 Typical High $43.65 | Professional | None | $17.38 | $18.62 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $15.85 Typical High $22.91 | Professional | None | $13.80 | $15.85 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $22.91 Typical High $69.18 | Facility | None | $18.20 | $22.91 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $31.62 | Professional | None | $11.22 | $13.80 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $22.91 Typical High $77.62 | Facility | None | $14.79 | $22.91 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $33.11 Typical High $61.66 | Professional | None | $14.79 | $33.11 | $61.66 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $41.69 Median $57.54 Typical High $2,187.76 | Facility | None | $41.69 | $57.54 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $14.79 Median $18.62 Typical High $20.89 | Professional | None | $14.79 | $18.62 | $20.89 |
United Setting Professional Modifier None Typical Low $9.55 Median $19.05 Typical High $27.54 | Professional | None | $9.55 | $19.05 | $27.54 |
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 $8.71 Median $9.33 Typical High $89.13 | Professional | 52 · Reduced service | $8.71 | $9.33 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.80 Typical High $36.31 | Professional | 53 · Discontinued | $3.47 | $3.80 | $36.31 |
Where Indiana sits
The same service costs 6.6 times more in Alaska than in Alabama. 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· 42nd of 51
$18.62
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.