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 $13.18 Median $19.95 Typical High $58.88 | Facility | None | $13.18 | $19.95 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $52.48 | Professional | None | $11.75 | $13.18 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $16.22 Typical High $47.86 | Facility | None | $12.59 | $16.22 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $6.46 Typical High $12.02 | Professional | None | $5.62 | $6.46 | $12.02 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $10.96 Median $16.22 Typical High $32.36 | Professional | QW · Waived lab test | $10.96 | $16.22 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
CareSource Setting Professional Modifier None Typical Low $10.47 Median $16.22 Typical High $18.62 | Professional | None | $10.47 | $16.22 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $16.22 Typical High $45.71 | Facility | None | $10.47 | $16.22 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $18.20 Typical High $32.36 | Professional | None | $7.94 | $18.20 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $26.92 Median $912.01 Typical High $2,187.76 | Facility | None | $26.92 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $10.47 Median $12.88 Typical High $14.45 | Professional | QW · Waived lab test | $10.47 | $12.88 | $14.45 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.00 Typical High $19.50 | Professional | None | $6.76 | $10.00 | $19.50 |
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 $6.03 Median $6.61 Typical High $28.18 | Professional | 52 · Reduced service | $6.03 | $6.61 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.63 Typical High $11.48 | Professional | 53 · Discontinued | $2.40 | $2.63 | $11.48 |
Where Indiana sits
The same service costs 3.5 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· 47th of 51
$10.96
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.