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 $4.27 Median $6.46 Typical High $19.05 | Facility | None | $4.27 | $6.46 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.27 Typical High $9.12 | Professional | None | $3.89 | $4.27 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.63 | Professional | None | $3.16 | $3.16 | $3.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.07 Median $5.25 Typical High $15.49 | Facility | None | $4.07 | $5.25 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $3.16 Typical High $7.24 | Professional | None | $2.95 | $3.16 | $7.24 |
CareSource Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
CareSource Setting Professional Modifier None Typical Low $3.39 Median $5.25 Typical High $6.03 | Professional | None | $3.39 | $5.25 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $5.25 Typical High $17.38 | Facility | None | $3.39 | $5.25 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.46 Typical High $14.13 | Professional | None | $3.31 | $6.46 | $14.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $9.33 Median $13.18 Typical High $2,187.76 | Facility | None | $9.33 | $13.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.39 Median $4.17 Typical High $4.79 | Professional | None | $3.39 | $4.17 | $4.79 |
United Setting Professional Modifier None Typical Low $2.19 Median $4.27 Typical High $6.31 | Professional | None | $2.19 | $4.27 | $6.31 |
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 $1.95 Median $2.14 Typical High $4.37 | Professional | 52 · Reduced service | $1.95 | $2.14 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.85 Typical High $1.74 | Professional | 53 · Discontinued | $0.78 | $0.85 | $1.74 |
Where Indiana sits
The same service costs 4.5 times more in Alaska 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· 45th of 51
$4.27
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.