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 $11.22 Median $15.14 Typical High $26.30 | Facility | None | $11.22 | $15.14 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $23.99 | Professional | None | $10.47 | $11.22 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $13.80 | Professional | None | $6.92 | $8.71 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $13.80 Typical High $41.69 | Facility | None | $10.96 | $13.80 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $7.41 Typical High $15.85 | Professional | None | $5.62 | $7.41 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
CareSource Setting Professional Modifier None Typical Low $8.91 Median $13.80 Typical High $15.85 | Professional | None | $8.91 | $13.80 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $13.80 Typical High $39.81 | Facility | None | $8.91 | $13.80 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $16.22 Typical High $32.36 | Professional | None | $7.59 | $16.22 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $24.55 Median $34.67 Typical High $2,187.76 | Facility | None | $24.55 | $34.67 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $12.88 | Professional | None | $8.91 | $11.22 | $12.88 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.77 Typical High $16.60 | Professional | None | $5.75 | $9.77 | $16.60 |
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 $5.25 Median $5.62 Typical High $45.71 | Professional | 52 · Reduced service | $5.25 | $5.62 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.29 Typical High $18.20 | Professional | 53 · Discontinued | $2.04 | $2.29 | $18.20 |
Where Indiana sits
The same service costs 3.7 times more in Kansas than in New Jersey. 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· 39th of 51
$10.96
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.