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 $57.54 Median $75.86 Typical High $257.04 | Facility | None | $57.54 | $75.86 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $57.54 Typical High $117.49 | Professional | None | $52.48 | $57.54 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $70.79 Typical High $208.93 | Facility | None | $54.95 | $70.79 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $70.79 | Professional | None | $47.86 | $47.86 | $70.79 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $70.79 Median $77.62 Typical High $141.25 | Professional | QW · Waived lab test | $70.79 | $77.62 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
CareSource Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $97.72 | Professional | None | $70.79 | $77.62 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $70.79 Typical High $234.42 | Facility | None | $56.23 | $70.79 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $134.90 | Professional | None | $50.12 | $63.10 | $134.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $144.54 Median $912.01 Typical High $2,187.76 | Facility | None | $144.54 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $61.66 | Professional | None | $51.29 | $60.26 | $61.66 |
United Setting Professional Modifier None Typical Low $29.51 Median $47.86 Typical High $87.10 | Professional | None | $29.51 | $47.86 | $87.10 |
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 $26.30 Median $28.84 Typical High $58.88 | Professional | 52 · Reduced service | $26.30 | $28.84 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.48 Typical High $23.44 | Professional | 53 · Discontinued | $10.47 | $11.48 | $23.44 |
Where Indiana sits
The same service costs 4.0 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· 43rd of 51
$57.54
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.