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 $6.46 Median $11.75 Typical High $28.84 | Facility | None | $6.46 | $11.75 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.46 Typical High $18.20 | Professional | None | $5.75 | $6.46 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $7.76 Typical High $23.44 | Facility | None | $6.17 | $7.76 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $3.16 Typical High $8.51 | Professional | None | $2.45 | $3.16 | $8.51 |
CareSource Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
CareSource Setting Professional Modifier None Typical Low $5.13 Median $7.76 Typical High $8.91 | Professional | None | $5.13 | $7.76 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $7.76 Typical High $22.39 | Facility | None | $5.13 | $7.76 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $8.13 Typical High $14.79 | Professional | None | $3.47 | $8.13 | $14.79 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $12.59 Median $19.50 Typical High $2,187.76 | Facility | None | $12.59 | $19.50 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.13 Median $6.31 Typical High $7.24 | Professional | None | $5.13 | $6.31 | $7.24 |
United Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $9.33 | Professional | None | $3.31 | $4.68 | $9.33 |
3 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 $2.95 Median $3.24 Typical High $8.91 | Professional | 52 · Reduced service | $2.95 | $3.24 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.29 Typical High $3.63 | Professional | 53 · Discontinued | $1.17 | $1.29 | $3.63 |
Ambetter Setting Professional Modifier GY · Excluded by law Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | GY · Excluded by law | $4.27 | $4.27 | $4.27 |
Where Indiana sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 47th of 51
$5.75
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.