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 $7.08 Median $9.55 Typical High $20.89 | Facility | None | $7.08 | $9.55 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.24 Typical High $28.18 | Professional | None | $6.46 | $7.24 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $6.03 Typical High $6.03 | Professional | None | $5.13 | $6.03 | $6.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $8.71 Typical High $25.70 | Facility | None | $6.76 | $8.71 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $4.79 Typical High $12.02 | Professional | None | $3.63 | $4.79 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
CareSource Setting Professional Modifier None Typical Low $5.62 Median $8.71 Typical High $10.00 | Professional | None | $5.62 | $8.71 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $8.71 Typical High $28.84 | Facility | None | $5.62 | $8.71 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $10.96 Typical High $23.44 | Professional | None | $5.50 | $10.96 | $23.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $15.49 Median $21.38 Typical High $2,187.76 | Facility | None | $15.49 | $21.38 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.62 Median $6.92 Typical High $7.94 | Professional | None | $5.62 | $6.92 | $7.94 |
United Setting Professional Modifier None Typical Low $3.63 Median $7.08 Typical High $10.47 | Professional | None | $3.63 | $7.08 | $10.47 |
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 $3.24 Median $3.55 Typical High $25.70 | Professional | 52 · Reduced service | $3.24 | $3.55 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.41 Typical High $10.47 | Professional | 53 · Discontinued | $1.29 | $1.41 | $10.47 |
Where Indiana sits
The same service costs 13.2 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
$7.08
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.