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 $141.25 Median $190.55 Typical High $645.65 | Facility | None | $141.25 | $190.55 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | None | $141.25 | $141.25 | $213.80 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $60.26 Median $70.79 Typical High $70.79 | Professional | QW · Waived lab test | $60.26 | $70.79 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $288.40 Typical High $426.58 | Facility | None | $141.25 | $288.40 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $81.28 | Professional | None | $57.54 | $57.54 | $81.28 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $158.49 Typical High $288.40 | Professional | QW · Waived lab test | $141.25 | $158.49 | $288.40 |
CareSource Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $288.40 | Facility | None | $138.04 | $213.80 | $288.40 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $199.53 | Professional | None | $141.25 | $158.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $269.15 Typical High $407.38 | Facility | None | $93.33 | $269.15 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $275.42 | Professional | None | $75.86 | $120.23 | $275.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $239.88 Median $912.01 Typical High $2,187.76 | Facility | None | $239.88 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $141.25 | Professional | None | $102.33 | $120.23 | $141.25 |
United Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $173.78 | Professional | None | $60.26 | $91.20 | $173.78 |
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 $70.79 Median $70.79 Typical High $107.15 | Professional | 52 · Reduced service | $70.79 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $42.66 | Professional | 53 · Discontinued | $28.84 | $28.84 | $42.66 |
Where Indiana sits
The same service costs 4.3 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· 49th of 51
$95.50
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.