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 $9.77 Median $14.79 Typical High $44.67 | Facility | None | $9.77 | $14.79 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $23.99 | Professional | None | $9.12 | $9.77 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $12.02 Typical High $36.31 | Facility | None | $9.55 | $12.02 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $23.99 | Professional | None | $5.89 | $9.33 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $13.80 | Professional | None | $7.76 | $12.02 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $12.02 Typical High $40.74 | Facility | None | $7.76 | $12.02 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $28.18 Typical High $58.88 | Professional | None | $16.98 | $28.18 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $21.88 Median $30.20 Typical High $2,187.76 | Facility | None | $21.88 | $30.20 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $7.94 Median $10.23 Typical High $51.29 | Professional | None | $7.94 | $10.23 | $51.29 |
United Setting Professional Modifier None Typical Low $5.01 Median $9.33 Typical High $14.45 | Professional | None | $5.01 | $9.33 | $14.45 |
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 $4.47 Median $4.90 Typical High $25.12 | Professional | 52 · Reduced service | $4.47 | $4.90 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.00 Typical High $10.00 | Professional | 53 · Discontinued | $1.82 | $2.00 | $10.00 |
Where Indiana sits
The same service costs 3.9 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· 45th of 51
$12.02
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.