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 $14.13 Typical High $42.66 | Facility | None | $9.55 | $14.13 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.55 Typical High $66.07 | Professional | None | $8.71 | $9.55 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $11.48 | Professional | None | $5.75 | $7.94 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $11.48 Typical High $34.67 | Facility | None | $9.12 | $11.48 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $6.61 Typical High $15.85 | Professional | None | $5.50 | $6.61 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
CareSource Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $13.18 | Professional | None | $7.59 | $11.48 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $11.48 Typical High $38.90 | Facility | None | $7.59 | $11.48 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $31.62 | Professional | None | $7.41 | $13.18 | $31.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $11.22 Median $28.84 Typical High $2,187.76 | Facility | None | $11.22 | $28.84 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $7.59 Median $9.33 Typical High $10.47 | Professional | None | $7.59 | $9.33 | $10.47 |
United Setting Professional Modifier None Typical Low $3.89 Median $6.92 Typical High $14.13 | Professional | None | $3.89 | $6.92 | $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 $4.37 Median $4.79 Typical High $33.11 | Professional | 52 · Reduced service | $4.37 | $4.79 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.91 Typical High $13.18 | Professional | 53 · Discontinued | $1.74 | $1.91 | $13.18 |
Where Indiana sits
The same service costs 3.2 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· 49th of 51
$8.91
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.