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 $16.98 Median $25.70 Typical High $39.81 | Facility | None | $16.98 | $25.70 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $34.67 | Professional | None | $15.49 | $16.98 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $14.45 Typical High $14.45 | Professional | None | $10.47 | $14.45 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $63.10 | Facility | None | $16.60 | $20.89 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $28.84 | Professional | None | $10.23 | $12.59 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $20.89 Typical High $23.99 | Professional | None | $13.49 | $20.89 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $20.89 Typical High $69.18 | Facility | None | $13.49 | $20.89 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $26.92 Typical High $51.29 | Professional | None | $13.49 | $26.92 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $37.15 Median $52.48 Typical High $2,187.76 | Facility | None | $37.15 | $52.48 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $19.05 | Professional | None | $13.49 | $16.98 | $19.05 |
United Setting Professional Modifier None Typical Low $8.71 Median $16.98 Typical High $25.12 | Professional | None | $8.71 | $16.98 | $25.12 |
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 $7.76 Median $8.51 Typical High $17.38 | Professional | 52 · Reduced service | $7.76 | $8.51 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.39 Typical High $6.92 | Professional | 53 · Discontinued | $3.09 | $3.39 | $6.92 |
Where Indiana sits
The same service costs 3.2 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· 42nd of 51
$16.98
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.