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 $21.88 Median $32.36 Typical High $95.50 | Facility | None | $21.88 | $32.36 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $35.48 | Professional | None | $21.38 | $21.88 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $26.92 | Professional | None | $15.85 | $15.85 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $79.43 | Facility | None | $21.38 | $26.92 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $26.92 | Professional | None | $15.14 | $15.14 | $26.92 |
CareSource Setting Professional Modifier None Typical Low $26.92 Median $29.51 Typical High $37.15 | Professional | None | $26.92 | $29.51 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $43.65 Typical High $89.13 | Facility | None | $21.38 | $43.65 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $57.54 | Professional | None | $16.98 | $24.55 | $57.54 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $2,187.76 | Facility | None | $61.66 | $69.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $40.74 | Professional | None | $19.05 | $22.39 | $40.74 |
United Setting Professional Modifier None Typical Low $15.85 Median $28.84 Typical High $48.98 | Professional | None | $15.85 | $28.84 | $48.98 |
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 $10.47 Median $10.96 Typical High $12.59 | Professional | 52 · Reduced service | $10.47 | $10.96 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.37 Typical High $5.01 | Professional | 53 · Discontinued | $4.17 | $4.37 | $5.01 |
Where Indiana sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 44th of 51
$25.70
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.