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 $13.80 Median $15.85 Typical High $61.66 | Facility | None | $13.80 | $15.85 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $25.12 | Professional | None | $12.59 | $13.80 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $16.98 Typical High $50.12 | Facility | None | $13.18 | $16.98 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $6.76 Typical High $12.88 | Professional | None | $5.62 | $6.76 | $12.88 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $16.98 Typical High $33.88 | Professional | QW · Waived lab test | $11.48 | $16.98 | $33.88 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $19.50 | Professional | None | $10.96 | $16.98 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $16.98 Typical High $47.86 | Facility | None | $10.96 | $16.98 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $18.20 Typical High $32.36 | Professional | None | $8.51 | $18.20 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $27.54 Median $912.01 Typical High $2,187.76 | Facility | None | $27.54 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $10.96 Median $13.49 Typical High $15.14 | Professional | QW · Waived lab test | $10.96 | $13.49 | $15.14 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $19.95 | Professional | None | $7.08 | $10.00 | $19.95 |
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 $6.31 Median $6.92 Typical High $12.59 | Professional | 52 · Reduced service | $6.31 | $6.92 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.75 Typical High $5.01 | Professional | 53 · Discontinued | $2.51 | $2.75 | $5.01 |
Where Indiana sits
The same service costs 3.6 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· 49th of 51
$11.48
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.