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 $10.00 Median $18.20 Typical High $44.67 | Facility | None | $10.00 | $18.20 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $18.20 | Professional | None | $9.12 | $10.00 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $12.02 Typical High $36.31 | Facility | None | $9.55 | $12.02 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $18.20 | Professional | None | $4.57 | $4.57 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $19.95 Typical High $33.88 | Facility | None | $8.13 | $19.95 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $11.48 Typical High $25.70 | Professional | None | $6.46 | $11.48 | $25.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $23.99 Median $31.62 Typical High $2,187.76 | Facility | None | $23.99 | $31.62 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.71 Median $10.23 Typical High $18.62 | Professional | None | $8.71 | $10.23 | $18.62 |
United Setting Professional Modifier None Typical Low $7.24 Median $13.80 Typical High $21.88 | Professional | None | $7.24 | $13.80 | $21.88 |
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 $4.57 Median $5.01 Typical High $9.12 | Professional | 52 · Reduced service | $4.57 | $5.01 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.00 Typical High $3.63 | Professional | 53 · Discontinued | $1.82 | $2.00 | $3.63 |
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
$10.00
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.