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 $9.77 Median $14.79 Typical High $22.91 | Facility | None | $9.77 | $14.79 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $9.77 Typical High $20.89 | Professional | None | $8.91 | $9.77 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $12.02 | Professional | None | $8.13 | $8.13 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $12.02 Typical High $36.31 | Facility | None | $9.55 | $12.02 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $5.89 Typical High $9.12 | Professional | None | $5.62 | $5.89 | $9.12 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $8.32 Median $12.02 Typical High $23.99 | Professional | QW · Waived lab test | $8.32 | $12.02 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $13.80 | Professional | None | $7.76 | $12.02 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $12.02 Typical High $39.81 | Facility | None | $7.76 | $12.02 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $13.49 Typical High $32.36 | Professional | None | $8.51 | $13.49 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $24.55 Median $912.01 Typical High $2,187.76 | Facility | None | $24.55 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $7.76 Median $9.77 Typical High $11.22 | Professional | QW · Waived lab test | $7.76 | $9.77 | $11.22 |
United Setting Professional Modifier None Typical Low $5.01 Median $9.77 Typical High $14.45 | Professional | None | $5.01 | $9.77 | $14.45 |
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 $4.47 Median $4.90 Typical High $33.88 | Professional | 52 · Reduced service | $4.47 | $4.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.95 Typical High $13.49 | Professional | 53 · Discontinued | $1.82 | $1.95 | $13.49 |
Where Indiana sits
The same service costs 5.5 times more in Vermont 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· 49th of 51
$9.55
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.