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 $12.30 Median $25.12 Typical High $54.95 | Facility | None | $12.30 | $25.12 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $70.79 | Professional | None | $11.22 | $12.30 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $15.14 Typical High $44.67 | Facility | None | $11.75 | $15.14 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $9.12 Typical High $20.89 | Professional | None | $7.41 | $9.12 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $15.14 Typical High $50.12 | Facility | None | $9.77 | $15.14 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $16.98 Typical High $40.74 | Professional | None | $9.55 | $16.98 | $40.74 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $19.95 Median $37.15 Typical High $2,187.76 | Facility | None | $19.95 | $37.15 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $9.77 Median $12.02 Typical High $13.49 | Professional | None | $9.77 | $12.02 | $13.49 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $18.20 | Professional | None | $6.31 | $8.91 | $18.20 |
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 $5.62 Median $6.17 Typical High $34.67 | Professional | 52 · Reduced service | $5.62 | $6.17 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.45 Typical High $14.13 | Professional | 53 · Discontinued | $2.24 | $2.45 | $14.13 |
Where Indiana sits
The same service costs 3.2 times more in Alaska 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· 45th of 51
$11.75
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.