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 $8.51 Median $16.60 Typical High $38.02 | Facility | None | $8.51 | $16.60 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.51 Typical High $109.65 | Professional | None | $7.76 | $8.51 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $10.47 Typical High $30.90 | Facility | None | $8.13 | $10.47 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $5.89 Typical High $13.80 | Professional | None | $4.68 | $5.89 | $13.80 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $10.23 Typical High $12.88 | Facility | None | $10.00 | $10.23 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $10.47 Typical High $33.11 | Facility | None | $7.59 | $10.47 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $14.45 Typical High $25.12 | Professional | None | $6.31 | $14.45 | $25.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $20.42 Median $26.92 Typical High $2,187.76 | Facility | None | $20.42 | $26.92 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6.76 Median $8.32 Typical High $9.55 | Professional | None | $6.76 | $8.32 | $9.55 |
United Setting Professional Modifier None Typical Low $4.37 Median $8.13 Typical High $12.59 | Professional | None | $4.37 | $8.13 | $12.59 |
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 $3.89 Median $4.27 Typical High $54.95 | Professional | 52 · Reduced service | $3.89 | $4.27 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.70 Typical High $21.88 | Professional | 53 · Discontinued | $1.55 | $1.70 | $21.88 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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
$8.32
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.