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 $52.48 Median $64.57 Typical High $95.50 | Facility | None | $52.48 | $64.57 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $74.13 | Professional | None | $48.98 | $61.66 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $63.10 Typical High $85.11 | Professional | None | $42.66 | $63.10 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $141.25 | Facility | None | $66.07 | $66.07 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $75.86 | Professional | None | $53.70 | $63.10 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $67.61 Typical High $75.86 | Facility | None | $66.07 | $67.61 | $75.86 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $109.65 | Professional | None | $64.57 | $81.28 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $257.04 Typical High $257.04 | Facility | None | $64.57 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $81.28 | Professional | None | $33.11 | $45.71 | $81.28 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $199.53 Median $257.04 Typical High $2,187.76 | Facility | None | $199.53 | $257.04 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $128.82 | Professional | None | $52.48 | $72.44 | $128.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $74.13 | Professional | None | $53.70 | $53.70 | $74.13 |
4 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 AF · Specialist physician Typical Low $47.86 Median $54.95 Typical High $67.61 | Professional | AF · Specialist physician | $47.86 | $54.95 | $67.61 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $51.29 Median $58.88 Typical High $58.88 | Professional | 93 · Audio-only telehealth | $51.29 | $58.88 | $58.88 |
Ambetter Setting Professional Modifier HE · Mental health program Typical Low $42.66 Median $56.23 Typical High $85.11 | Professional | HE · Mental health program | $42.66 | $56.23 | $85.11 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | HO · Master's level | $63.10 | $63.10 | $63.10 |
Where Indiana sits
The same service costs 1.9 times more in North Dakota than in Kentucky. 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· 32nd of 51
$61.66
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.