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 $6.31 Median $9.55 Typical High $28.18 | Facility | None | $6.31 | $9.55 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.31 Typical High $21.88 | Professional | None | $5.75 | $6.31 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $7.76 Typical High $22.91 | Facility | None | $6.03 | $7.76 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $4.37 Typical High $10.00 | Professional | None | $3.63 | $4.37 | $10.00 |
CareSource Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $7.76 Typical High $25.70 | Facility | None | $5.01 | $7.76 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $10.96 Typical High $20.89 | Professional | None | $4.90 | $10.96 | $20.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $13.80 Median $19.05 Typical High $2,187.76 | Facility | None | $13.80 | $19.05 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.01 Median $6.17 Typical High $7.24 | Professional | None | $5.01 | $6.17 | $7.24 |
United Setting Professional Modifier None Typical Low $3.24 Median $6.46 Typical High $9.33 | Professional | None | $3.24 | $6.46 | $9.33 |
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 $2.88 Median $3.16 Typical High $30.90 | Professional | 52 · Reduced service | $2.88 | $3.16 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.26 Typical High $12.30 | Professional | 53 · Discontinued | $1.15 | $1.26 | $12.30 |
Where Indiana sits
The same service costs 3.2 times more in Alaska 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
$6.17
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.