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 $15.49 Typical High $26.92 | Facility | None | $11.75 | $15.49 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $26.92 | Professional | None | $10.72 | $13.18 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $9.55 Typical High $14.13 | Professional | None | $6.03 | $9.55 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $14.13 Typical High $42.66 | Facility | None | $11.22 | $14.13 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $7.08 Typical High $10.96 | Professional | None | $6.17 | $7.08 | $10.96 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $9.77 Median $14.13 Typical High $28.84 | Professional | QW · Waived lab test | $9.77 | $14.13 | $28.84 |
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 $14.13 Typical High $16.60 | Professional | None | $9.33 | $14.13 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $14.13 Typical High $47.86 | Facility | None | $9.33 | $14.13 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $18.20 Typical High $38.90 | Professional | None | $9.33 | $18.20 | $38.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $29.51 Median $912.01 Typical High $2,187.76 | Facility | None | $29.51 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
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 $12.02 | Professional | 52 · Reduced service | $5.37 | $5.89 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.34 Typical High $4.79 | Professional | 53 · Discontinued | $2.14 | $2.34 | $4.79 |
Where Indiana sits
The same service costs 9.5 times more in Vermont than in Indiana. 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· 51st of 51
$11.22
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.