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 $11.75 Typical High $22.91 | Facility | None | $7.76 | $11.75 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $16.60 | Professional | None | $7.08 | $7.76 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $5.62 Median $6.61 Typical High $9.55 | Professional | None | $5.62 | $6.61 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $9.55 Typical High $28.18 | Facility | None | $7.41 | $9.55 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $5.37 Typical High $13.18 | Professional | None | $4.47 | $5.37 | $13.18 |
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 $9.55 Typical High $10.96 | Professional | None | $6.17 | $9.55 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $9.55 Typical High $31.62 | Facility | None | $6.17 | $9.55 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $11.75 Typical High $25.70 | Professional | None | $6.03 | $11.75 | $25.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $15.14 Median $23.44 Typical High $2,187.76 | Facility | None | $15.14 | $23.44 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6.17 Median $7.59 Typical High $8.71 | Professional | None | $6.17 | $7.59 | $8.71 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.62 Typical High $11.48 | Professional | None | $3.98 | $5.62 | $11.48 |
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 $7.94 | Professional | 52 · Reduced service | $3.55 | $3.89 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.55 Typical High $3.16 | Professional | 53 · Discontinued | $1.41 | $1.55 | $3.16 |
Where Indiana sits
The same service costs 15.8 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· 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.