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 $9.55 Median $14.45 Typical High $23.44 | Facility | None | $9.55 | $14.45 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $9.55 Typical High $19.50 | Professional | None | $8.91 | $9.55 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $8.13 Typical High $8.13 | Professional | None | $7.08 | $8.13 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $11.75 Typical High $35.48 | Facility | None | $9.33 | $11.75 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $16.22 | Professional | None | $5.62 | $6.76 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
CareSource Setting Professional Modifier None Typical Low $7.59 Median $11.75 Typical High $13.49 | Professional | None | $7.59 | $11.75 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $11.75 Typical High $39.81 | Facility | None | $7.59 | $11.75 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $14.79 Typical High $31.62 | Professional | None | $7.59 | $14.79 | $31.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $21.38 Median $29.51 Typical High $2,187.76 | Facility | None | $21.38 | $29.51 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $7.59 Median $9.55 Typical High $11.22 | Professional | None | $7.59 | $9.55 | $11.22 |
United Setting Professional Modifier None Typical Low $4.90 Median $9.77 Typical High $14.13 | Professional | None | $4.90 | $9.77 | $14.13 |
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 $4.79 Typical High $34.67 | Professional | 52 · Reduced service | $4.47 | $4.79 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.95 Typical High $14.13 | Professional | 53 · Discontinued | $1.78 | $1.95 | $14.13 |
Where Indiana sits
The same service costs 4.5 times more in Alaska 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
$9.55
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.