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 $3.47 Median $5.25 Typical High $15.85 | Facility | None | $3.47 | $5.25 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.47 Typical High $10.47 | Professional | None | $3.24 | $3.47 | $10.47 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $2.14 Typical High $2.75 | Professional | None | $1.82 | $2.14 | $2.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.39 Median $4.27 Typical High $12.88 | Facility | None | $3.39 | $4.27 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.16 Typical High $5.89 | Professional | None | $2.57 | $3.16 | $5.89 |
CareSource Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
CareSource Setting Professional Modifier None Typical Low $2.75 Median $4.27 Typical High $4.90 | Professional | None | $2.75 | $4.27 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $4.27 Typical High $14.45 | Facility | None | $2.75 | $4.27 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $6.17 Typical High $11.48 | Professional | None | $2.75 | $6.17 | $11.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $7.76 Median $10.72 Typical High $2,187.76 | Facility | None | $7.76 | $10.72 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.75 Median $3.47 Typical High $3.98 | Professional | None | $2.75 | $3.47 | $3.98 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.37 Typical High $6.17 | Professional | None | $2.57 | $4.37 | $6.17 |
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 $1.58 Median $1.74 Typical High $14.45 | Professional | 52 · Reduced service | $1.58 | $1.74 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.71 Typical High $5.75 | Professional | 53 · Discontinued | $0.65 | $0.71 | $5.75 |
Where Indiana sits
The same service costs 3.2 times more in Kansas 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· 48th of 51
$3.80
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.