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 $15.14 Typical High $45.71 | Facility | None | $10.00 | $15.14 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $30.20 | Professional | None | $9.33 | $10.00 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $12.30 Typical High $37.15 | Facility | None | $9.77 | $12.30 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.89 Typical High $16.60 | Professional | None | $4.27 | $5.89 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $15.49 | Facility | None | $12.02 | $12.02 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $12.30 Typical High $40.74 | Facility | None | $7.94 | $12.30 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $14.13 Typical High $25.70 | Professional | None | $7.94 | $14.13 | $25.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $2,187.76 | Facility | None | $20.89 | $32.36 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $11.22 | Professional | None | $7.94 | $10.00 | $11.22 |
United Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $15.14 | Professional | None | $7.41 | $12.30 | $15.14 |
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 $83.18 | Professional | 52 · Reduced service | $4.57 | $5.01 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.04 Typical High $33.11 | Professional | 53 · Discontinued | $1.86 | $2.04 | $33.11 |
Where Indiana sits
The same service costs 3.5 times more in Kansas than in Georgia. 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· 48th 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.