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 $12.30 Median $16.60 Typical High $54.95 | Facility | None | $12.30 | $16.60 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $87.10 | Professional | None | $11.22 | $12.30 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $44.67 | Facility | None | $12.02 | $15.14 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $9.12 Typical High $20.89 | Professional | None | $7.41 | $9.12 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $15.14 Typical High $50.12 | Facility | None | $9.77 | $15.14 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $18.62 Typical High $40.74 | Professional | None | $9.55 | $18.62 | $40.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $22.39 Median $38.02 Typical High $2,187.76 | Facility | None | $22.39 | $38.02 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $9.77 Median $12.02 Typical High $13.49 | Professional | None | $9.77 | $12.02 | $13.49 |
United Setting Professional Modifier None Typical Low $6.31 Median $9.12 Typical High $18.20 | Professional | None | $6.31 | $9.12 | $18.20 |
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 $5.62 Median $6.17 Typical High $43.65 | Professional | 52 · Reduced service | $5.62 | $6.17 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.45 Typical High $17.78 | Professional | 53 · Discontinued | $2.24 | $2.45 | $17.78 |
Where Indiana sits
The same service costs 3.0 times more in Alaska than in Tennessee. 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· 46th of 51
$12.02
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.