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 $10.47 Median $15.49 Typical High $46.77 | Facility | None | $10.47 | $15.49 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $81.28 | Professional | None | $9.55 | $10.47 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $12.59 Typical High $38.02 | Facility | None | $10.00 | $12.59 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $17.78 | Professional | None | $6.03 | $7.41 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $12.59 Typical High $42.66 | Facility | None | $8.32 | $12.59 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $15.49 Typical High $34.67 | Professional | None | $8.13 | $15.49 | $34.67 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $22.91 Median $31.62 Typical High $2,187.76 | Facility | None | $22.91 | $31.62 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.32 Median $10.23 Typical High $12.02 | Professional | None | $8.32 | $10.23 | $12.02 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.91 Typical High $15.49 | Professional | None | $5.37 | $8.91 | $15.49 |
3 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 $4.79 Median $5.25 Typical High $40.74 | Professional | 52 · Reduced service | $4.79 | $5.25 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.09 Typical High $16.22 | Professional | 53 · Discontinued | $1.91 | $2.09 | $16.22 |
Ambetter Setting Professional Modifier GY · Excluded by law Typical Low $7.59 Median $7.59 Typical High $8.71 | Professional | GY · Excluded by law | $7.59 | $7.59 | $8.71 |
Where Indiana sits
The same service costs 4.7 times more in Kansas than in Nebraska. 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· 48th of 51
$9.77
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.