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 $23.44 Median $31.62 Typical High $141.25 | Facility | None | $23.44 | $31.62 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $31.62 Typical High $407.38 | Professional | None | $19.95 | $31.62 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $1,096.48 Typical High $1,479.11 | Facility | None | $18.20 | $1,096.48 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $33.11 | Professional | None | $18.20 | $21.88 | $33.11 |
CareSource Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Facility | None | $29.51 | $29.51 | $34.67 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $28.18 Typical High $32.36 | Professional | None | $18.20 | $28.18 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $123.03 Typical High $281.84 | Facility | None | $3.55 | $123.03 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $39.81 Typical High $58.88 | Professional | None | $13.80 | $39.81 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $75.86 Median $912.01 Typical High $2,290.87 | Facility | None | $75.86 | $912.01 | $2,290.87 |
United Setting Professional Modifier None Typical Low $15.14 Median $22.39 Typical High $48.98 | Professional | None | $15.14 | $22.39 | $48.98 |
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 $10.00 Median $15.85 Typical High $204.17 | Professional | 52 · Reduced service | $10.00 | $15.85 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $6.31 Typical High $83.18 | Professional | 53 · Discontinued | $3.98 | $6.31 | $83.18 |
Where Indiana sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 41st of 51
$25.12
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.