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 $51.29 Median $51.29 Typical High $77.62 | Facility | None | $51.29 | $51.29 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $89.13 | Professional | None | $51.29 | $51.29 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | None | $30.20 | $30.20 | $53.70 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $21.88 Median $30.20 Typical High $36.31 | Professional | QW · Waived lab test | $21.88 | $30.20 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $102.33 Typical High $154.88 | Facility | None | $51.29 | $102.33 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $61.66 Typical High $61.66 | Professional | None | $20.42 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $56.23 Typical High $102.33 | Professional | QW · Waived lab test | $51.29 | $56.23 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $102.33 | Facility | None | $66.07 | $77.62 | $102.33 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $72.44 | Professional | None | $51.29 | $56.23 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $97.72 Typical High $144.54 | Facility | None | $33.11 | $97.72 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $97.72 | Professional | None | $38.90 | $48.98 | $97.72 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $87.10 Median $912.01 Typical High $2,187.76 | Facility | None | $87.10 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $51.29 | Professional | None | $37.15 | $43.65 | $51.29 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $61.66 | Professional | None | $30.90 | $51.29 | $61.66 |
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 $25.70 Median $25.70 Typical High $38.90 | Professional | 52 · Reduced service | $25.70 | $25.70 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $15.49 | Professional | 53 · Discontinued | $10.23 | $10.23 | $15.49 |
Where Indiana sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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· 33rd of 51
$51.29
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.