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 $7.24 Median $10.96 Typical High $33.11 | Facility | None | $7.24 | $10.96 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.24 Typical High $14.79 | Professional | None | $6.61 | $7.24 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $8.91 Typical High $26.92 | Facility | None | $7.08 | $8.91 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $4.37 Typical High $6.76 | Professional | None | $4.17 | $4.37 | $6.76 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $6.17 Median $8.91 Typical High $17.78 | Professional | QW · Waived lab test | $6.17 | $8.91 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $5.75 Median $8.91 Typical High $10.23 | Professional | None | $5.75 | $8.91 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $8.91 Typical High $29.51 | Facility | None | $5.75 | $8.91 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $12.30 Typical High $23.99 | Professional | None | $5.89 | $12.30 | $23.99 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $18.20 Median $912.01 Typical High $2,187.76 | Facility | None | $18.20 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $5.75 Median $7.24 Typical High $7.94 | Professional | QW · Waived lab test | $5.75 | $7.24 | $7.94 |
United Setting Professional Modifier None Typical Low $3.72 Median $7.24 Typical High $10.72 | Professional | None | $3.72 | $7.24 | $10.72 |
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 $3.31 Median $3.63 Typical High $38.90 | Professional | 52 · Reduced service | $3.31 | $3.63 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.45 Typical High $15.49 | Professional | 53 · Discontinued | $1.32 | $1.45 | $15.49 |
Where Indiana sits
The same service costs 4.3 times more in Kansas 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· 50th of 51
$6.76
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.