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 $9.12 Median $13.80 Typical High $40.74 | Facility | None | $9.12 | $13.80 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.33 Typical High $36.31 | Professional | None | $8.32 | $9.33 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $11.22 | Professional | None | $6.76 | $11.22 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $11.22 Typical High $33.11 | Facility | None | $8.91 | $11.22 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $6.31 Typical High $15.49 | Professional | None | $5.25 | $6.31 | $15.49 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
CareSource Setting Professional Modifier None Typical Low $7.24 Median $11.22 Typical High $12.88 | Professional | None | $7.24 | $11.22 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $11.22 Typical High $37.15 | Facility | None | $7.24 | $11.22 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $13.80 Typical High $30.20 | Professional | None | $7.08 | $13.80 | $30.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $2,187.76 | Facility | None | $19.95 | $28.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $7.24 Median $8.91 Typical High $10.47 | Professional | None | $7.24 | $8.91 | $10.47 |
United Setting Professional Modifier None Typical Low $4.68 Median $9.12 Typical High $13.49 | Professional | None | $4.68 | $9.12 | $13.49 |
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 $4.17 Median $4.57 Typical High $29.51 | Professional | 52 · Reduced service | $4.17 | $4.57 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.82 Typical High $11.75 | Professional | 53 · Discontinued | $1.66 | $1.82 | $11.75 |
Where Indiana sits
The same service costs 8.3 times more in Vermont 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· 47th of 51
$9.12
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.