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 $10.72 Median $21.88 Typical High $48.98 | Facility | None | $10.72 | $21.88 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.72 Typical High $38.90 | Professional | None | $10.00 | $10.72 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $13.18 Typical High $39.81 | Facility | None | $10.47 | $13.18 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $18.20 | Professional | None | $6.46 | $7.94 | $18.20 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $13.18 Typical High $43.65 | Facility | None | $8.51 | $13.18 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $15.14 Typical High $35.48 | Professional | None | $8.51 | $15.14 | $35.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $23.99 Median $33.11 Typical High $2,187.76 | Facility | None | $23.99 | $33.11 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $12.02 | Professional | None | $8.51 | $10.72 | $12.02 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.91 Typical High $15.85 | Professional | None | $5.50 | $8.91 | $15.85 |
3 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 $4.90 Median $5.37 Typical High $19.50 | Professional | 52 · Reduced service | $4.90 | $5.37 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.14 Typical High $7.76 | Professional | 53 · Discontinued | $2.00 | $2.14 | $7.76 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 90 · Outside lab | $9.12 | $9.12 | $9.12 |
Where Indiana sits
The same service costs 3.3 times more in South Carolina 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· 46th of 51
$10.47
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.