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 $8.13 Median $16.60 Typical High $36.31 | Facility | None | $8.13 | $16.60 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $8.13 Typical High $91.20 | Professional | None | $7.41 | $8.13 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $9.77 Typical High $29.51 | Facility | None | $7.76 | $9.77 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.62 Typical High $13.80 | Professional | None | $4.27 | $5.62 | $13.80 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $9.77 Typical High $33.11 | Facility | None | $6.46 | $9.77 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $13.80 Typical High $26.92 | Professional | None | $6.31 | $13.80 | $26.92 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $17.78 Median $24.55 Typical High $2,187.76 | Facility | None | $17.78 | $24.55 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $8.71 | Professional | None | $6.46 | $7.94 | $8.71 |
United Setting Professional Modifier None Typical Low $4.17 Median $8.32 Typical High $12.02 | Professional | None | $4.17 | $8.32 | $12.02 |
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 $3.72 Median $4.07 Typical High $45.71 | Professional | 52 · Reduced service | $3.72 | $4.07 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.62 Typical High $18.20 | Professional | 53 · Discontinued | $1.48 | $1.62 | $18.20 |
Where Indiana sits
The same service costs 4.1 times more in Kansas 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· 48th of 51
$7.76
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.