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 $12.59 Median $19.05 Typical High $56.23 | Facility | None | $12.59 | $19.05 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $114.82 | Professional | None | $11.48 | $12.59 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $45.71 | Facility | None | $12.02 | $15.14 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $7.94 Typical High $20.89 | Professional | None | $6.31 | $7.94 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $15.14 Typical High $51.29 | Facility | None | $10.00 | $15.14 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $17.38 Typical High $41.69 | Professional | None | $9.77 | $17.38 | $41.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $24.55 Median $38.02 Typical High $2,187.76 | Facility | None | $24.55 | $38.02 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $10.00 Median $12.30 Typical High $13.49 | Professional | None | $10.00 | $12.30 | $13.49 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.12 Typical High $18.20 | Professional | None | $6.46 | $9.12 | $18.20 |
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 $5.75 Median $6.31 Typical High $57.54 | Professional | 52 · Reduced service | $5.75 | $6.31 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.51 Typical High $22.91 | Professional | 53 · Discontinued | $2.29 | $2.51 | $22.91 |
Where Indiana sits
The same service costs 3.3 times more in South Carolina than in Maryland. 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
$12.02
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.