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 $11.48 Median $17.38 Typical High $51.29 | Facility | None | $11.48 | $17.38 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $11.48 Typical High $77.62 | Professional | None | $10.47 | $11.48 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $14.13 Typical High $41.69 | Facility | None | $11.22 | $14.13 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $17.38 | Professional | None | $6.61 | $7.94 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $14.13 Typical High $46.77 | Facility | None | $9.12 | $14.13 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $17.38 Typical High $38.02 | Professional | None | $8.91 | $17.38 | $38.02 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $25.12 Median $35.48 Typical High $2,187.76 | Facility | None | $25.12 | $35.48 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $9.12 Median $11.22 Typical High $12.88 | Professional | None | $9.12 | $11.22 | $12.88 |
United Setting Professional Modifier None Typical Low $5.89 Median $11.48 Typical High $16.98 | Professional | None | $5.89 | $11.48 | $16.98 |
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 $5.25 Median $5.75 Typical High $38.90 | Professional | 52 · Reduced service | $5.25 | $5.75 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.29 Typical High $15.49 | Professional | 53 · Discontinued | $2.09 | $2.29 | $15.49 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 46th of 51
$11.22
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.