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 $15.14 Median $27.54 Typical High $67.61 | Facility | None | $15.14 | $27.54 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $123.03 | Professional | None | $13.80 | $15.14 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $18.20 Typical High $54.95 | Facility | None | $14.45 | $18.20 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $10.23 Typical High $22.91 | Professional | None | $7.76 | $10.23 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $20.42 Typical High $54.95 | Facility | None | $12.02 | $20.42 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $23.99 Typical High $41.69 | Professional | None | $10.47 | $23.99 | $41.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $33.11 Median $45.71 Typical High $2,187.76 | Facility | None | $33.11 | $45.71 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $16.98 | Professional | None | $12.02 | $14.79 | $16.98 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.80 Typical High $22.39 | Professional | None | $7.76 | $13.80 | $22.39 |
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 $6.92 Median $7.59 Typical High $61.66 | Professional | 52 · Reduced service | $6.92 | $7.59 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.02 Typical High $24.55 | Professional | 53 · Discontinued | $2.75 | $3.02 | $24.55 |
Where Indiana sits
The same service costs 4.1 times more in Kansas 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· 46th of 51
$14.13
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.