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 $8.32 Median $11.22 Typical High $19.50 | Facility | None | $8.32 | $11.22 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.32 Typical High $16.98 | Professional | None | $7.59 | $8.32 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $7.08 Typical High $7.59 | Professional | None | $6.92 | $7.08 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $10.23 Typical High $30.20 | Facility | None | $7.94 | $10.23 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $6.17 Typical High $14.13 | Professional | None | $5.01 | $6.17 | $14.13 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
CareSource Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $11.75 | Professional | None | $6.61 | $10.23 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $10.23 Typical High $33.88 | Facility | None | $6.61 | $10.23 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $14.45 Typical High $27.54 | Professional | None | $6.61 | $14.45 | $27.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $18.20 Median $25.70 Typical High $2,187.76 | Facility | None | $18.20 | $25.70 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6.61 Median $8.13 Typical High $9.55 | Professional | None | $6.61 | $8.13 | $9.55 |
United Setting Professional Modifier None Typical Low $4.27 Median $8.32 Typical High $12.30 | Professional | None | $4.27 | $8.32 | $12.30 |
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 $3.80 Median $4.17 Typical High $30.20 | Professional | 52 · Reduced service | $3.80 | $4.17 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.66 Typical High $12.02 | Professional | 53 · Discontinued | $1.51 | $1.66 | $12.02 |
Where Indiana sits
The same service costs 26.9 times more in Vermont 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· 45th of 51
$8.32
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.