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 $22.39 Median $32.36 Typical High $95.50 | Facility | None | $22.39 | $32.36 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $169.82 | Professional | None | $19.50 | $21.38 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $18.20 | Professional | None | $15.49 | $15.49 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $26.30 Typical High $77.62 | Facility | None | $20.42 | $26.30 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $36.31 | Professional | None | $12.30 | $14.79 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $26.30 Typical High $87.10 | Facility | None | $16.98 | $26.30 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $32.36 Typical High $66.07 | Professional | None | $16.60 | $32.36 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $42.66 Median $64.57 Typical High $2,187.76 | Facility | None | $42.66 | $64.57 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $16.98 Median $20.89 Typical High $23.99 | Professional | None | $16.98 | $20.89 | $23.99 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $31.62 | Professional | None | $10.96 | $15.49 | $31.62 |
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 $9.77 Median $10.72 Typical High $83.18 | Professional | 52 · Reduced service | $9.77 | $10.72 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $33.88 | Professional | 53 · Discontinued | $3.89 | $4.27 | $33.88 |
Where Indiana sits
The same service costs 6.0 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· 42nd of 51
$20.89
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.