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 $2.45 Median $3.24 Typical High $5.62 | Facility | None | $2.45 | $3.24 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.45 Typical High $5.01 | Professional | None | $2.24 | $2.45 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $1.51 Median $1.78 Typical High $3.02 | Professional | None | $1.51 | $1.78 | $3.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.34 Median $3.02 Typical High $8.91 | Facility | None | $2.34 | $3.02 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $1.82 Typical High $5.37 | Professional | None | $1.48 | $1.82 | $5.37 |
CareSource Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
CareSource Setting Professional Modifier None Typical Low $1.95 Median $3.02 Typical High $3.47 | Professional | None | $1.95 | $3.02 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $1.95 Median $3.02 Typical High $10.00 | Facility | None | $1.95 | $3.02 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $4.17 Typical High $13.49 | Professional | None | $2.00 | $4.17 | $13.49 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $5.75 Median $8.91 Typical High $2,187.76 | Facility | None | $5.75 | $8.91 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1.95 Median $2.40 Typical High $3.02 | Professional | None | $1.95 | $2.40 | $3.02 |
United Setting Professional Modifier None Typical Low $1.26 Median $2.51 Typical High $3.72 | Professional | None | $1.26 | $2.51 | $3.72 |
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 $1.12 Median $1.23 Typical High $22.91 | Professional | 52 · Reduced service | $1.12 | $1.23 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.49 Typical High $9.12 | Professional | 53 · Discontinued | $0.45 | $0.49 | $9.12 |
Where Indiana sits
The same service costs 28.2 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
$2.45
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.