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 $9.77 Median $13.18 Typical High $22.91 | Facility | None | $9.77 | $13.18 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.77 Typical High $19.95 | Professional | None | $9.12 | $9.77 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $12.02 | Professional | None | $7.24 | $12.02 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $12.02 Typical High $36.31 | Facility | None | $9.55 | $12.02 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $6.92 Typical High $16.60 | Professional | None | $5.75 | $6.92 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $13.80 | Professional | None | $7.76 | $12.02 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $12.02 Typical High $40.74 | Facility | None | $7.76 | $12.02 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $15.49 Typical High $32.36 | Professional | None | $7.76 | $15.49 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $21.88 Median $30.20 Typical High $2,187.76 | Facility | None | $21.88 | $30.20 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $14.13 | Professional | None | $7.94 | $10.00 | $14.13 |
United Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $14.45 | Professional | None | $5.01 | $10.00 | $14.45 |
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 $4.47 Median $4.90 Typical High $42.66 | Professional | 52 · Reduced service | $4.47 | $4.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.00 Typical High $17.38 | Professional | 53 · Discontinued | $1.82 | $2.00 | $17.38 |
Where Indiana sits
The same service costs 9.5 times more in Vermont 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· 45th 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.