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 $45.71 Median $51.29 Typical High $204.17 | Facility | None | $45.71 | $51.29 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $67.61 | Professional | None | $45.71 | $45.71 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | None | $20.89 | $20.89 | $24.55 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $15.14 Median $17.78 Typical High $38.90 | Professional | QW · Waived lab test | $15.14 | $17.78 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $70.79 Typical High $107.15 | Facility | None | $35.48 | $70.79 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $24.55 | Professional | None | $14.13 | $15.49 | $24.55 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $24.55 Median $35.48 Typical High $70.79 | Professional | QW · Waived lab test | $24.55 | $35.48 | $70.79 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $48.98 Typical High $70.79 | Facility | None | $33.88 | $48.98 | $70.79 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $35.48 Typical High $40.74 | Professional | None | $22.91 | $35.48 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $66.07 Typical High $100.00 | Facility | None | $22.91 | $66.07 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $67.61 | Professional | None | $26.92 | $33.11 | $67.61 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $22.39 Median $29.51 Typical High $40.74 | Professional | QW · Waived lab test | $22.39 | $29.51 | $40.74 |
United Setting Professional Modifier None Typical Low $17.38 Median $25.70 Typical High $48.98 | Professional | None | $17.38 | $25.70 | $48.98 |
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 $22.39 Median $22.39 Typical High $40.74 | Professional | 52 · Reduced service | $22.39 | $22.39 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $16.22 | Professional | 53 · Discontinued | $9.12 | $9.12 | $16.22 |
Where Indiana sits
The same service costs 4.5 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· 50th of 51
$21.38
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.