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 $19.05 Median $37.15 Typical High $85.11 | Facility | None | $19.05 | $37.15 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $97.72 | Professional | None | $17.38 | $19.05 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $15.85 Typical High $69.18 | Facility | None | $12.59 | $15.85 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $46.77 | Professional | None | $10.96 | $17.78 | $46.77 |
CareSource Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $22.91 Typical High $74.13 | Facility | None | $15.14 | $22.91 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $38.02 Typical High $79.43 | Professional | None | $23.44 | $38.02 | $79.43 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $41.69 Median $57.54 Typical High $2,187.76 | Facility | None | $41.69 | $57.54 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $63.10 | Professional | None | $13.18 | $19.05 | $63.10 |
United Setting Professional Modifier None Typical Low $9.77 Median $17.38 Typical High $28.84 | Professional | None | $9.77 | $17.38 | $28.84 |
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 $8.71 Median $9.55 Typical High $48.98 | Professional | 52 · Reduced service | $8.71 | $9.55 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.80 Typical High $19.50 | Professional | 53 · Discontinued | $3.47 | $3.80 | $19.50 |
Where Indiana sits
The same service costs 3.5 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· 37th of 51
$21.38
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.