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 $5.37 Median $9.33 Typical High $23.99 | Facility | None | $5.37 | $9.33 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.37 Typical High $162.18 | Professional | None | $4.90 | $5.37 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $3.89 Median $4.57 Typical High $4.57 | Professional | None | $3.89 | $4.57 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $6.46 Typical High $19.50 | Facility | None | $5.13 | $6.46 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.98 Typical High $9.12 | Professional | None | $3.24 | $3.98 | $9.12 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $6.46 Typical High $21.88 | Facility | None | $4.27 | $6.46 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $7.94 Typical High $17.78 | Professional | None | $4.17 | $7.94 | $17.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $11.75 Median $16.22 Typical High $2,187.76 | Facility | None | $11.75 | $16.22 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $4.27 Median $5.25 Typical High $6.46 | Professional | None | $4.27 | $5.25 | $6.46 |
United Setting Professional Modifier None Typical Low $2.75 Median $4.68 Typical High $7.94 | Professional | None | $2.75 | $4.68 | $7.94 |
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 $2.45 Median $2.69 Typical High $81.28 | Professional | 52 · Reduced service | $2.45 | $2.69 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.07 Typical High $33.11 | Professional | 53 · Discontinued | $0.98 | $1.07 | $33.11 |
Where Indiana sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 48th of 51
$5.13
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.