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 $42.66 Typical High $83.18 | Facility | None | $28.84 | $42.66 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $48.98 | Professional | None | $28.18 | $28.84 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $35.48 | Professional | None | $17.38 | $20.89 | $35.48 |
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 $19.05 Median $19.05 Typical High $52.48 | Professional | None | $19.05 | $19.05 | $52.48 |
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 $35.48 Typical High $117.49 | Facility | None | $28.18 | $35.48 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $67.61 | Professional | None | $21.38 | $31.62 | $67.61 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $2,187.76 | Facility | None | $63.10 | $87.10 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $56.23 | Professional | None | $25.12 | $29.51 | $56.23 |
United Setting Professional Modifier None Typical Low $14.79 Median $26.30 Typical High $43.65 | Professional | None | $14.79 | $26.30 | $43.65 |
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 $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 |
Where Indiana sits
The same service costs 3.5 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· 42nd of 51
$28.84
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.