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 $4.57 Median $7.76 Typical High $20.42 | Facility | None | $4.57 | $7.76 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.57 Typical High $51.29 | Professional | None | $4.17 | $4.57 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.37 Median $5.62 Typical High $16.60 | Facility | None | $4.37 | $5.62 | $16.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $3.16 Typical High $6.61 | Professional | None | $2.63 | $3.16 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $5.62 Typical High $18.62 | Facility | None | $3.63 | $5.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $6.92 Typical High $15.14 | Professional | None | $3.63 | $6.92 | $15.14 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $10.00 Median $13.80 Typical High $2,187.76 | Facility | None | $10.00 | $13.80 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.63 Median $4.47 Typical High $4.79 | Professional | None | $3.63 | $4.47 | $4.79 |
United Setting Professional Modifier None Typical Low $2.34 Median $4.57 Typical High $6.76 | Professional | None | $2.34 | $4.57 | $6.76 |
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 $2.09 Median $2.29 Typical High $25.70 | Professional | 52 · Reduced service | $2.09 | $2.29 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.91 Typical High $10.23 | Professional | 53 · Discontinued | $0.83 | $0.91 | $10.23 |
Where Indiana sits
The same service costs 4.8 times more in Kansas than in Kentucky. 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· 44th of 51
$4.47
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.