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 $16.60 Median $25.12 Typical High $74.13 | Facility | None | $16.60 | $25.12 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.60 Typical High $22.91 | Professional | None | $16.22 | $16.60 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.23 | Professional | None | $8.71 | $8.71 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $20.42 Typical High $60.26 | Facility | None | $16.22 | $20.42 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $22.39 | Professional | None | $11.48 | $11.48 | $22.39 |
CareSource Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $28.18 | Professional | None | $20.42 | $22.39 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $33.11 Typical High $67.61 | Facility | None | $16.22 | $33.11 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $18.20 Typical High $44.67 | Professional | None | $12.59 | $18.20 | $44.67 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $47.86 Median $52.48 Typical High $2,187.76 | Facility | None | $47.86 | $52.48 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $30.90 | Professional | None | $14.79 | $17.38 | $30.90 |
United Setting Professional Modifier None Typical Low $12.02 Median $21.88 Typical High $37.15 | Professional | None | $12.02 | $21.88 | $37.15 |
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 $7.94 Median $8.32 Typical High $9.55 | Professional | 52 · Reduced service | $7.94 | $8.32 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.31 Typical High $3.80 | Professional | 53 · Discontinued | $3.24 | $3.31 | $3.80 |
Where Indiana sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 45th of 51
$19.95
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.