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 $16.22 Median $32.36 Typical High $72.44 | Facility | None | $16.22 | $32.36 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $16.22 Typical High $32.36 | Professional | None | $14.79 | $16.22 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $58.88 | Facility | None | $15.49 | $19.50 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $11.22 Typical High $26.92 | Professional | None | $9.33 | $11.22 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $19.50 Typical High $66.07 | Facility | None | $14.13 | $19.50 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $23.99 Typical High $50.12 | Professional | None | $12.30 | $23.99 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $28.18 Median $48.98 Typical High $2,187.76 | Facility | None | $28.18 | $48.98 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $18.20 | Professional | None | $12.88 | $15.85 | $18.20 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $23.99 | Professional | None | $8.32 | $11.75 | $23.99 |
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 $7.41 Median $7.94 Typical High $32.36 | Professional | 52 · Reduced service | $7.41 | $7.94 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.24 Typical High $12.88 | Professional | 53 · Discontinued | $2.95 | $3.24 | $12.88 |
Where Indiana sits
The same service costs 4.6 times more in Kansas than in Alabama. 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
$15.14
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.