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 $6.61 Median $10.00 Typical High $29.51 | Facility | None | $6.61 | $10.00 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.61 Typical High $47.86 | Professional | None | $6.03 | $6.61 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $8.13 Typical High $23.99 | Facility | None | $6.31 | $8.13 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $4.90 Typical High $12.02 | Professional | None | $3.98 | $4.90 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
CareSource Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $9.33 | Professional | None | $5.25 | $8.13 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $8.13 Typical High $26.92 | Facility | None | $5.25 | $8.13 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $11.48 Typical High $23.99 | Professional | None | $5.25 | $11.48 | $23.99 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $14.45 Median $20.42 Typical High $2,187.76 | Facility | None | $14.45 | $20.42 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.25 Median $6.46 Typical High $7.24 | Professional | None | $5.25 | $6.46 | $7.24 |
United Setting Professional Modifier None Typical Low $3.39 Median $6.61 Typical High $9.77 | Professional | None | $3.39 | $6.61 | $9.77 |
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 $3.02 Median $3.31 Typical High $23.99 | Professional | 52 · Reduced service | $3.02 | $3.31 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.32 Typical High $9.55 | Professional | 53 · Discontinued | $1.20 | $1.32 | $9.55 |
Where Indiana sits
The same service costs 5.6 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· 45th of 51
$6.61
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.