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 $20.89 Median $38.02 Typical High $93.33 | Facility | None | $20.89 | $38.02 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $61.66 | Professional | None | $19.05 | $20.89 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $25.70 Typical High $75.86 | Facility | None | $20.42 | $25.70 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $19.50 | Professional | None | $10.23 | $10.23 | $19.50 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $17.78 Median $25.70 Typical High $51.29 | Professional | QW · Waived lab test | $17.78 | $25.70 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $25.70 Typical High $72.44 | Facility | None | $16.60 | $25.70 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $24.55 Typical High $51.29 | Professional | None | $13.80 | $24.55 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $42.66 Median $912.01 Typical High $2,187.76 | Facility | None | $42.66 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $16.60 Median $20.42 Typical High $23.44 | Professional | QW · Waived lab test | $16.60 | $20.42 | $23.44 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $30.90 | Professional | None | $10.72 | $15.85 | $30.90 |
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 $9.55 Median $10.47 Typical High $30.20 | Professional | 52 · Reduced service | $9.55 | $10.47 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.17 Typical High $12.30 | Professional | 53 · Discontinued | $3.80 | $4.17 | $12.30 |
Where Indiana sits
The same service costs 3.8 times more in Alaska than in Alabama. 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
$17.78
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.