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 $19.95 Median $40.74 Typical High $89.13 | Facility | None | $19.95 | $40.74 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $165.96 | Professional | None | $18.20 | $19.95 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $24.55 Typical High $72.44 | Facility | None | $19.05 | $24.55 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $33.88 | Professional | None | $11.48 | $13.80 | $33.88 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $24.55 Typical High $81.28 | Facility | None | $15.85 | $24.55 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $30.90 Typical High $66.07 | Professional | None | $15.49 | $30.90 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $43.65 Median $60.26 Typical High $2,187.76 | Facility | None | $43.65 | $60.26 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $22.39 | Professional | None | $15.85 | $19.50 | $22.39 |
United Setting Professional Modifier None Typical Low $10.23 Median $19.95 Typical High $29.51 | Professional | None | $10.23 | $19.95 | $29.51 |
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 $9.12 Median $10.00 Typical High $83.18 | Professional | 52 · Reduced service | $9.12 | $10.00 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.98 Typical High $33.11 | Professional | 53 · Discontinued | $3.63 | $3.98 | $33.11 |
Where Indiana sits
The same service costs 4.0 times more in Kansas 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· 47th of 51
$19.05
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.