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 $25.12 Median $36.31 Typical High $107.15 | Facility | None | $25.12 | $36.31 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $48.98 | Professional | None | $21.88 | $23.99 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $15.85 Typical High $87.10 | Facility | None | $12.59 | $15.85 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $58.88 | Professional | None | $14.45 | $21.88 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
CareSource Setting Professional Modifier None Typical Low $19.05 Median $29.51 Typical High $33.88 | Professional | None | $19.05 | $29.51 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $29.51 Typical High $97.72 | Facility | None | $19.05 | $29.51 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $43.65 Typical High $95.50 | Professional | None | $27.54 | $43.65 | $95.50 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $2,187.76 | Facility | None | $52.48 | $74.13 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $70.79 | Professional | None | $14.45 | $23.99 | $70.79 |
United Setting Professional Modifier None Typical Low $12.30 Median $23.99 Typical High $35.48 | Professional | None | $12.30 | $23.99 | $35.48 |
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 $10.96 Median $12.02 Typical High $85.11 | Professional | 52 · Reduced service | $10.96 | $12.02 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.79 Typical High $33.88 | Professional | 53 · Discontinued | $4.37 | $4.79 | $33.88 |
Where Indiana sits
The same service costs 4.4 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· 36th of 51
$27.54
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.