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 $7.76 Median $13.49 Typical High $34.67 | Facility | None | $7.76 | $13.49 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $14.13 | Professional | None | $7.08 | $7.76 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $9.33 Typical High $28.18 | Facility | None | $7.41 | $9.33 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $5.01 Typical High $10.96 | Professional | None | $3.72 | $5.01 | $10.96 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $9.33 Typical High $26.30 | Facility | None | $6.03 | $9.33 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $10.72 Typical High $18.20 | Professional | None | $4.37 | $10.72 | $18.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $15.49 Median $23.44 Typical High $2,187.76 | Facility | None | $15.49 | $23.44 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6.17 Median $7.59 Typical High $8.71 | Professional | None | $6.17 | $7.59 | $8.71 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.62 Typical High $11.22 | Professional | None | $3.89 | $5.62 | $11.22 |
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 $3.55 Median $3.80 Typical High $7.08 | Professional | 52 · Reduced service | $3.55 | $3.80 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.55 Typical High $2.82 | Professional | 53 · Discontinued | $1.41 | $1.55 | $2.82 |
Where Indiana sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 44th 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.