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 $7.41 Median $10.00 Typical High $33.88 | Facility | None | $7.41 | $10.00 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.41 Typical High $123.03 | Professional | None | $6.76 | $7.41 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $9.12 Typical High $27.54 | Facility | None | $7.24 | $9.12 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $5.50 Typical High $12.30 | Professional | None | $4.37 | $5.50 | $12.30 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $11.22 Typical High $29.51 | Facility | None | $6.46 | $11.22 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $12.88 Typical High $22.39 | Professional | None | $5.62 | $12.88 | $22.39 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $16.22 Median $22.91 Typical High $2,187.76 | Facility | None | $16.22 | $22.91 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $7.94 | Professional | None | $5.89 | $7.41 | $7.94 |
United Setting Professional Modifier None Typical Low $3.80 Median $7.41 Typical High $10.96 | Professional | None | $3.80 | $7.41 | $10.96 |
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 $3.39 Median $3.72 Typical High $61.66 | Professional | 52 · Reduced service | $3.39 | $3.72 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.48 Typical High $24.55 | Professional | 53 · Discontinued | $1.38 | $1.48 | $24.55 |
Where Indiana sits
The same service costs 5.9 times more in Kansas 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· 43rd of 51
$7.24
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.