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 $3.55 Median $4.79 Typical High $12.88 | Facility | None | $3.55 | $4.79 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.63 Typical High $7.59 | Professional | None | $3.24 | $3.63 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.88 Typical High $4.57 | Professional | None | $2.14 | $2.88 | $4.57 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $2.14 Median $2.57 Typical High $4.68 | Professional | QW · Waived lab test | $2.14 | $2.57 | $4.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.39 Median $4.27 Typical High $12.88 | Facility | None | $3.39 | $4.27 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $2.88 Typical High $4.47 | Professional | None | $2.45 | $2.88 | $4.47 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $4.27 Median $5.37 Typical High $8.13 | Professional | QW · Waived lab test | $4.27 | $5.37 | $8.13 |
CareSource Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
CareSource Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $4.90 | Professional | None | $2.82 | $4.27 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $4.27 Typical High $13.18 | Facility | None | $2.82 | $4.27 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $10.72 | Professional | None | $2.82 | $5.01 | $10.72 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $7.94 Median $912.01 Typical High $2,187.76 | Facility | None | $7.94 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $2.82 Median $3.47 Typical High $3.98 | Professional | QW · Waived lab test | $2.82 | $3.47 | $3.98 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $5.75 | Professional | None | $2.57 | $4.27 | $5.75 |
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 $1.62 Median $1.78 Typical High $7.59 | Professional | 52 · Reduced service | $1.62 | $1.78 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.71 Typical High $3.02 | Professional | 53 · Discontinued | $0.65 | $0.71 | $3.02 |
Where Indiana sits
The same service costs 14.8 times more in Minnesota 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
$3.72
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.