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 $12.59 Median $25.70 Typical High $57.54 | Facility | None | $12.59 | $25.70 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $12.59 Typical High $32.36 | Professional | None | $11.75 | $12.59 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $15.49 Typical High $46.77 | Facility | None | $12.30 | $15.49 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $21.38 | Professional | None | $7.41 | $9.33 | $21.38 |
CareSource Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $15.49 Typical High $51.29 | Facility | None | $10.00 | $15.49 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $19.50 Typical High $41.69 | Professional | None | $10.00 | $19.50 | $41.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $2,187.76 | Facility | None | $28.18 | $38.90 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $14.45 | Professional | None | $10.00 | $12.59 | $14.45 |
United Setting Professional Modifier None Typical Low $6.46 Median $12.88 Typical High $18.62 | Professional | None | $6.46 | $12.88 | $18.62 |
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 $5.75 Median $6.31 Typical High $15.85 | Professional | 52 · Reduced service | $5.75 | $6.31 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.51 Typical High $6.46 | Professional | 53 · Discontinued | $2.29 | $2.51 | $6.46 |
Where Indiana sits
The same service costs 3.5 times more in Kansas than in Nebraska. 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
$12.30
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.