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 $4.68 Median $7.08 Typical High $21.38 | Facility | None | $4.68 | $7.08 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.68 Typical High $50.12 | Professional | None | $4.37 | $4.68 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.57 Median $5.75 Typical High $17.38 | Facility | None | $4.57 | $5.75 | $17.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.75 Median $3.31 Typical High $7.08 | Professional | None | $2.75 | $3.31 | $7.08 |
CareSource Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $5.75 Typical High $19.50 | Facility | None | $3.72 | $5.75 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $7.24 Typical High $15.85 | Professional | None | $3.63 | $7.24 | $15.85 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $9.12 Median $14.45 Typical High $2,187.76 | Facility | None | $9.12 | $14.45 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.80 Median $4.68 Typical High $5.62 | Professional | None | $3.80 | $4.68 | $5.62 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $6.92 | Professional | None | $2.40 | $3.47 | $6.92 |
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 $2.19 Median $2.34 Typical High $25.12 | Professional | 52 · Reduced service | $2.19 | $2.34 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.95 Typical High $10.00 | Professional | 53 · Discontinued | $0.87 | $0.95 | $10.00 |
Where Indiana sits
The same service costs 4.0 times more in Kansas 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· 49th of 51
$4.47
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.