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 $10.23 Median $15.14 Typical High $45.71 | Facility | None | $10.23 | $15.14 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $21.88 | Professional | None | $9.33 | $10.23 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $12.30 Typical High $37.15 | Facility | None | $9.77 | $12.30 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $7.41 Typical High $17.38 | Professional | None | $6.17 | $7.41 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $14.13 | Professional | None | $8.13 | $12.30 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $12.30 Typical High $41.69 | Facility | None | $8.13 | $12.30 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $14.13 Typical High $33.88 | Professional | None | $7.94 | $14.13 | $33.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $2,187.76 | Facility | None | $14.13 | $30.90 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $11.22 | Professional | None | $8.13 | $10.00 | $11.22 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.41 Typical High $14.79 | Professional | None | $4.90 | $7.41 | $14.79 |
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 $4.68 Median $5.13 Typical High $10.23 | Professional | 52 · Reduced service | $4.68 | $5.13 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.04 Typical High $4.17 | Professional | 53 · Discontinued | $1.86 | $2.04 | $4.17 |
Where Indiana sits
The same service costs 8.5 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· 44th of 51
$10.00
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.