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 $11.75 Median $15.85 Typical High $27.54 | Facility | None | $11.75 | $15.85 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.75 Typical High $23.99 | Professional | None | $10.72 | $11.75 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $14.45 | Professional | None | $7.24 | $8.71 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $14.45 Typical High $43.65 | Facility | None | $11.48 | $14.45 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $19.95 | Professional | None | $6.76 | $8.51 | $19.95 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $14.45 Typical High $16.60 | Professional | None | $9.33 | $14.45 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $14.45 Typical High $47.86 | Facility | None | $9.33 | $14.45 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $17.78 Typical High $38.90 | Professional | None | $9.12 | $17.78 | $38.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $2,187.76 | Facility | None | $25.70 | $36.31 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $9.33 Median $11.48 Typical High $13.49 | Professional | None | $9.33 | $11.48 | $13.49 |
United Setting Professional Modifier None Typical Low $6.03 Median $11.75 Typical High $17.38 | Professional | None | $6.03 | $11.75 | $17.38 |
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 $5.37 Median $5.89 Typical High $26.30 | Professional | 52 · Reduced service | $5.37 | $5.89 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.34 Typical High $10.72 | Professional | 53 · Discontinued | $2.14 | $2.34 | $10.72 |
Where Indiana sits
The same service costs 8.3 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· 47th of 51
$11.75
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.