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 $3.24 Median $4.79 Typical High $14.45 | Facility | None | $3.24 | $4.79 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.24 Typical High $45.71 | Professional | None | $2.95 | $3.24 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $3.98 Typical High $11.75 | Facility | None | $3.09 | $3.98 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.86 Median $2.24 Typical High $5.50 | Professional | None | $1.86 | $2.24 | $5.50 |
CareSource Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $3.98 Typical High $13.18 | Facility | None | $2.57 | $3.98 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $5.62 Typical High $10.72 | Professional | None | $2.57 | $5.62 | $10.72 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $7.08 Median $9.77 Typical High $2,187.76 | Facility | None | $7.08 | $9.77 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $3.98 | Professional | None | $2.57 | $3.24 | $3.98 |
United Setting Professional Modifier None Typical Low $1.66 Median $3.24 Typical High $4.79 | Professional | None | $1.66 | $3.24 | $4.79 |
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 $1.48 Median $1.62 Typical High $22.91 | Professional | 52 · Reduced service | $1.48 | $1.62 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.65 Typical High $9.12 | Professional | 53 · Discontinued | $0.59 | $0.65 | $9.12 |
Where Indiana sits
The same service costs 3.4 times more in Kansas 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· 44th of 51
$3.16
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.