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 $7.76 Median $10.47 Typical High $17.78 | Facility | None | $7.76 | $10.47 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $30.90 | Professional | None | $7.08 | $7.76 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $4.68 Median $6.61 Typical High $9.33 | Professional | None | $4.68 | $6.61 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $9.33 Typical High $28.18 | Facility | None | $7.41 | $9.33 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $4.68 Typical High $10.96 | Professional | None | $4.27 | $4.68 | $10.96 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
CareSource Setting Professional Modifier None Typical Low $6.17 Median $9.33 Typical High $10.96 | Professional | None | $6.17 | $9.33 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $9.33 Typical High $31.62 | Facility | None | $6.17 | $9.33 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $11.75 Typical High $23.99 | Professional | None | $6.03 | $11.75 | $23.99 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $16.98 Median $23.44 Typical High $2,187.76 | Facility | None | $16.98 | $23.44 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $8.71 | Professional | None | $6.03 | $7.59 | $8.71 |
United Setting Professional Modifier None Typical Low $3.98 Median $7.76 Typical High $11.22 | Professional | None | $3.98 | $7.76 | $11.22 |
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 $3.55 Median $3.89 Typical High $21.38 | Professional | 52 · Reduced service | $3.55 | $3.89 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.55 Typical High $8.51 | Professional | 53 · Discontinued | $1.41 | $1.55 | $8.51 |
Where Indiana sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 46th of 51
$7.59
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.