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 $4.47 Median $6.61 Typical High $10.23 | Facility | None | $4.47 | $6.61 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.47 Typical High $8.91 | Professional | None | $4.07 | $4.47 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $5.37 Typical High $16.22 | Facility | None | $4.27 | $5.37 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $3.16 Typical High $7.59 | Professional | None | $2.51 | $3.16 | $7.59 |
CareSource Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
CareSource Setting Professional Modifier None Typical Low $3.47 Median $5.37 Typical High $6.17 | Professional | None | $3.47 | $5.37 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $5.37 Typical High $18.20 | Facility | None | $3.47 | $5.37 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $6.92 Typical High $14.45 | Professional | None | $3.47 | $6.92 | $14.45 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $10.23 Median $16.22 Typical High $2,187.76 | Facility | None | $10.23 | $16.22 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.55 Median $4.37 Typical High $4.79 | Professional | None | $3.55 | $4.37 | $4.79 |
United Setting Professional Modifier None Typical Low $2.24 Median $4.17 Typical High $6.46 | Professional | None | $2.24 | $4.17 | $6.46 |
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 $2.04 Median $2.19 Typical High $19.05 | Professional | 52 · Reduced service | $2.04 | $2.19 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.87 Typical High $7.59 | Professional | 53 · Discontinued | $0.81 | $0.87 | $7.59 |
Where Indiana sits
The same service costs 11.2 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
$4.27
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.