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 $13.18 Median $24.55 Typical High $60.26 | Facility | None | $13.18 | $24.55 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.18 Typical High $131.83 | Professional | None | $12.02 | $13.18 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $48.98 | Facility | None | $12.88 | $16.22 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $8.71 Typical High $20.42 | Professional | None | $6.46 | $8.71 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $16.22 Typical High $45.71 | Facility | None | $10.47 | $16.22 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $18.62 Typical High $35.48 | Professional | None | $8.51 | $18.62 | $35.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $24.55 Median $40.74 Typical High $2,187.76 | Facility | None | $24.55 | $40.74 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $15.14 | Professional | None | $10.47 | $13.18 | $15.14 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $19.50 | Professional | None | $6.76 | $9.77 | $19.50 |
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 $6.03 Median $6.61 Typical High $66.07 | Professional | 52 · Reduced service | $6.03 | $6.61 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.63 Typical High $26.30 | Professional | 53 · Discontinued | $2.45 | $2.63 | $26.30 |
Where Indiana sits
The same service costs 3.4 times more in Alaska than in New York. 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
$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.