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 $5.75 Typical High $19.05 | Facility | None | $4.27 | $5.75 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.68 Typical High $16.98 | Professional | None | $3.89 | $4.68 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $5.13 | Professional | None | $3.47 | $3.47 | $5.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.07 Median $5.13 Typical High $15.49 | Facility | None | $4.07 | $5.13 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $3.98 Typical High $6.46 | Professional | None | $2.45 | $3.98 | $6.46 |
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 $5.13 Typical High $6.03 | Professional | None | $3.39 | $5.13 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $5.13 Typical High $17.38 | Facility | None | $3.39 | $5.13 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.31 Typical High $14.13 | Professional | None | $3.31 | $6.31 | $14.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $9.33 Median $12.88 Typical High $2,187.76 | Facility | None | $9.33 | $12.88 | $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 $14.45 | Professional | 52 · Reduced service | $1.95 | $2.14 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.85 Typical High $5.75 | Professional | 53 · Discontinued | $0.78 | $0.85 | $5.75 |
Where Indiana sits
The same service costs 17.8 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· 33rd of 51
$5.13
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.