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 $28.84 Median $38.90 Typical High $66.07 | Facility | None | $28.84 | $38.90 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $66.07 | Professional | None | $28.18 | $28.84 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $19.05 | Professional | None | $14.79 | $17.38 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $35.48 Typical High $104.71 | Facility | None | $27.54 | $35.48 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $25.70 | Professional | None | $16.60 | $16.60 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $48.98 | Professional | None | $35.48 | $38.90 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $57.54 Typical High $117.49 | Facility | None | $28.18 | $57.54 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $35.48 Typical High $77.62 | Professional | None | $22.39 | $35.48 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $72.44 Median $912.01 Typical High $2,187.76 | Facility | None | $72.44 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $32.36 | Professional | None | $23.44 | $28.18 | $32.36 |
United Setting Professional Modifier None Typical Low $14.79 Median $28.18 Typical High $43.65 | Professional | None | $14.79 | $28.18 | $43.65 |
3 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 $13.18 Median $14.45 Typical High $29.51 | Professional | 52 · Reduced service | $13.18 | $14.45 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.75 Typical High $11.75 | Professional | 53 · Discontinued | $5.25 | $5.75 | $11.75 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $35.48 Median $38.90 Typical High $70.79 | Professional | QW · Waived lab test | $35.48 | $38.90 | $70.79 |
Where Indiana sits
The same service costs 3.5 times more in Minnesota than in Maryland. 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· 48th of 51
$28.18
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.