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 $10.72 Median $19.50 Typical High $47.86 | Facility | None | $10.72 | $19.50 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.72 Typical High $19.50 | Professional | None | $9.77 | $10.72 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $13.18 Typical High $38.90 | Facility | None | $10.23 | $13.18 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $19.50 | Professional | None | $4.57 | $4.57 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $13.18 Typical High $37.15 | Facility | None | $9.33 | $13.18 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $12.59 Typical High $25.70 | Professional | None | $6.46 | $12.59 | $25.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $23.99 Median $33.88 Typical High $2,187.76 | Facility | None | $23.99 | $33.88 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $9.33 Median $11.22 Typical High $19.95 | Professional | None | $9.33 | $11.22 | $19.95 |
United Setting Professional Modifier None Typical Low $7.76 Median $14.13 Typical High $23.99 | Professional | None | $7.76 | $14.13 | $23.99 |
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 $4.90 Median $5.37 Typical High $9.77 | Professional | 52 · Reduced service | $4.90 | $5.37 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.14 Typical High $3.89 | Professional | 53 · Discontinued | $1.95 | $2.14 | $3.89 |
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· 45th of 51
$10.72
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.