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 $6.61 Median $12.02 Typical High $29.51 | Facility | None | $6.61 | $12.02 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.61 Typical High $28.18 | Professional | None | $6.03 | $6.61 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $8.13 Typical High $23.99 | Facility | None | $6.31 | $8.13 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $3.63 Typical High $9.33 | Professional | None | $2.69 | $3.63 | $9.33 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $8.13 Typical High $22.91 | Facility | None | $5.25 | $8.13 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $9.55 Typical High $18.20 | Professional | None | $4.37 | $9.55 | $18.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $2,187.76 | Facility | None | $13.80 | $19.95 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.25 Median $6.46 Typical High $7.24 | Professional | None | $5.25 | $6.46 | $7.24 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.01 Typical High $9.77 | Professional | None | $3.39 | $5.01 | $9.77 |
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 $3.02 Median $3.31 Typical High $14.13 | Professional | 52 · Reduced service | $3.02 | $3.31 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.32 Typical High $5.62 | Professional | 53 · Discontinued | $1.20 | $1.32 | $5.62 |
Where Indiana sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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
$6.03
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.