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 $6.31 Median $12.88 Typical High $28.18 | Facility | None | $6.31 | $12.88 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.31 Typical High $52.48 | Professional | None | $5.75 | $6.31 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $7.76 Typical High $22.91 | Facility | None | $6.03 | $7.76 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $4.47 Typical High $10.72 | Professional | None | $3.63 | $4.47 | $10.72 |
CareSource Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $7.76 Typical High $25.70 | Facility | None | $5.13 | $7.76 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $9.33 Typical High $22.39 | Professional | None | $5.62 | $9.33 | $22.39 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $5.62 Median $19.05 Typical High $2,187.76 | Facility | None | $5.62 | $19.05 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.01 Median $6.17 Typical High $7.24 | Professional | None | $5.01 | $6.17 | $7.24 |
United Setting Professional Modifier None Typical Low $1.95 Median $4.68 Typical High $9.33 | Professional | None | $1.95 | $4.68 | $9.33 |
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 $2.88 Median $3.16 Typical High $26.30 | Professional | 52 · Reduced service | $2.88 | $3.16 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.26 Typical High $10.72 | Professional | 53 · Discontinued | $1.15 | $1.26 | $10.72 |
Where Indiana sits
The same service costs 3.5 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· 49th of 51
$6.03
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.