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 $10.96 Median $16.22 Typical High $25.12 | Facility | None | $10.96 | $16.22 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $89.13 | Professional | None | $10.00 | $10.96 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $13.18 Typical High $13.18 | Professional | None | $7.24 | $13.18 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $13.18 Typical High $39.81 | Facility | None | $10.47 | $13.18 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $15.85 | Professional | None | $5.75 | $7.24 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $13.18 Typical High $39.81 | Facility | None | $8.71 | $13.18 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $15.49 Typical High $32.36 | Professional | None | $7.59 | $15.49 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $23.99 Median $33.11 Typical High $2,187.76 | Facility | None | $23.99 | $33.11 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.71 Median $10.72 Typical High $12.02 | Professional | None | $8.71 | $10.72 | $12.02 |
United Setting Professional Modifier None Typical Low $5.62 Median $9.77 Typical High $15.85 | Professional | None | $5.62 | $9.77 | $15.85 |
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 $5.01 Median $5.50 Typical High $44.67 | Professional | 52 · Reduced service | $5.01 | $5.50 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.19 Typical High $17.78 | Professional | 53 · Discontinued | $2.00 | $2.19 | $17.78 |
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· 47th of 51
$10.47
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.