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 $15.85 Median $23.99 Typical High $70.79 | Facility | None | $15.85 | $23.99 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.85 Typical High $95.50 | Professional | None | $14.45 | $15.85 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $13.49 | Professional | None | $11.75 | $11.75 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $19.50 Typical High $57.54 | Facility | None | $15.14 | $19.50 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $26.92 | Professional | None | $9.55 | $11.48 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $12.59 Median $19.50 Typical High $22.39 | Professional | None | $12.59 | $19.50 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $19.50 Typical High $64.57 | Facility | None | $12.59 | $19.50 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $24.55 Typical High $41.69 | Professional | None | $12.30 | $24.55 | $41.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $34.67 Median $47.86 Typical High $2,187.76 | Facility | None | $34.67 | $47.86 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $12.59 Median $15.49 Typical High $17.78 | Professional | None | $12.59 | $15.49 | $17.78 |
United Setting Professional Modifier None Typical Low $8.13 Median $15.85 Typical High $23.44 | Professional | None | $8.13 | $15.85 | $23.44 |
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 $7.24 Median $7.94 Typical High $47.86 | Professional | 52 · Reduced service | $7.24 | $7.94 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.16 Typical High $19.05 | Professional | 53 · Discontinued | $2.88 | $3.16 | $19.05 |
Where Indiana sits
The same service costs 4.3 times more in Kansas 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· 47th of 51
$15.49
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.