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 $26.92 Median $32.36 Typical High $120.23 | Facility | None | $26.92 | $32.36 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $48.98 | Professional | None | $24.55 | $26.92 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | QW · Waived lab test | $13.80 | $13.80 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $97.72 | Facility | None | $25.70 | $33.11 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $23.99 | Professional | None | $13.18 | $13.18 | $23.99 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $22.39 Median $33.11 Typical High $66.07 | Professional | QW · Waived lab test | $22.39 | $33.11 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $33.11 Typical High $93.33 | Facility | None | $21.38 | $33.11 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $29.51 Typical High $63.10 | Professional | None | $15.14 | $29.51 | $63.10 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $54.95 Median $912.01 Typical High $2,290.87 | Facility | None | $54.95 | $912.01 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $21.38 Median $26.30 Typical High $30.20 | Professional | QW · Waived lab test | $21.38 | $26.30 | $30.20 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $38.90 | Professional | None | $13.80 | $19.50 | $38.90 |
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 $12.30 Median $13.49 Typical High $24.55 | Professional | 52 · Reduced service | $12.30 | $13.49 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.37 Typical High $9.77 | Professional | 53 · Discontinued | $4.90 | $5.37 | $9.77 |
Where Indiana sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$22.39
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.