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 $13.49 Median $20.42 Typical High $61.66 | Facility | None | $13.49 | $20.42 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $31.62 | Professional | None | $12.02 | $13.49 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $9.77 Typical High $10.96 | Professional | None | $8.32 | $9.77 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $16.60 Typical High $50.12 | Facility | None | $13.18 | $16.60 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $15.85 Typical High $21.38 | Professional | None | $6.61 | $15.85 | $21.38 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $16.60 Typical High $33.11 | Professional | QW · Waived lab test | $11.48 | $16.60 | $33.11 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $16.60 Typical High $19.05 | Professional | None | $10.72 | $16.60 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $46.77 | Facility | None | $10.72 | $16.60 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $38.02 | Professional | None | $11.22 | $17.78 | $38.02 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $27.54 Median $912.01 Typical High $2,187.76 | Facility | None | $27.54 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $10.72 Median $13.49 Typical High $15.14 | Professional | QW · Waived lab test | $10.72 | $13.49 | $15.14 |
United Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $19.95 | Professional | None | $14.13 | $14.13 | $19.95 |
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 $6.17 Median $6.76 Typical High $19.05 | Professional | 52 · Reduced service | $6.17 | $6.76 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.69 Typical High $7.59 | Professional | 53 · Discontinued | $2.45 | $2.69 | $7.59 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $8.32 Median $8.32 Typical High $9.77 | Professional | 59 · Distinct service | $8.32 | $8.32 | $9.77 |
Where Indiana sits
The same service costs 3.2 times more in Alaska 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· 29th of 51
$15.85
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.