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 $21.88 Median $38.02 Typical High $97.72 | Facility | None | $21.88 | $38.02 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $158.49 | Professional | None | $19.95 | $21.88 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $79.43 | Facility | None | $21.38 | $26.92 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $37.15 | Professional | None | $13.18 | $16.22 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $30.90 | Professional | None | $17.38 | $26.92 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $26.92 Typical High $89.13 | Facility | None | $17.38 | $26.92 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $33.11 Typical High $72.44 | Professional | None | $16.98 | $33.11 | $72.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $47.86 Median $67.61 Typical High $2,187.76 | Facility | None | $47.86 | $67.61 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $24.55 | Professional | None | $17.38 | $21.38 | $24.55 |
United Setting Professional Modifier None Typical Low $11.22 Median $21.88 Typical High $32.36 | Professional | None | $11.22 | $21.88 | $32.36 |
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 $10.00 Median $10.96 Typical High $79.43 | Professional | 52 · Reduced service | $10.00 | $10.96 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.37 Typical High $31.62 | Professional | 53 · Discontinued | $3.98 | $4.37 | $31.62 |
Where Indiana sits
The same service costs 4.5 times more in South Carolina 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· 39th of 51
$21.88
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.