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 $10.72 Median $14.45 Typical High $24.55 | Facility | None | $10.72 | $14.45 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.72 Typical High $21.38 | Professional | None | $9.77 | $10.72 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $8.91 Typical High $12.88 | Professional | None | $8.71 | $8.91 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $12.88 Typical High $38.90 | Facility | None | $10.23 | $12.88 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $7.59 Typical High $17.78 | Professional | None | $6.17 | $7.59 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
CareSource Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $14.79 | Professional | None | $8.51 | $12.88 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $12.88 Typical High $43.65 | Facility | None | $8.51 | $12.88 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $16.22 Typical High $28.18 | Professional | None | $8.32 | $16.22 | $28.18 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $23.44 Median $32.36 Typical High $2,187.76 | Facility | None | $23.44 | $32.36 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.51 Median $10.47 Typical High $12.02 | Professional | None | $8.51 | $10.47 | $12.02 |
United Setting Professional Modifier None Typical Low $5.50 Median $10.47 Typical High $15.49 | Professional | None | $5.50 | $10.47 | $15.49 |
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 $4.90 Median $5.37 Typical High $22.39 | Professional | 52 · Reduced service | $4.90 | $5.37 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.14 Typical High $8.91 | Professional | 53 · Discontinued | $1.95 | $2.14 | $8.91 |
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· 48th of 51
$10.47
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.