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 $69.18 Median $89.13 Typical High $123.03 | Facility | None | $69.18 | $89.13 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $97.72 | Professional | None | $69.18 | $79.43 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $104.71 | Professional | None | $67.61 | $77.62 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $199.53 | Facility | None | $89.13 | $89.13 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $102.33 | Professional | None | $70.79 | $85.11 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $93.33 Median $95.50 Typical High $107.15 | Facility | None | $93.33 | $95.50 | $107.15 |
CareSource Setting Professional Modifier None Typical Low $87.10 Median $102.33 Typical High $138.04 | Professional | None | $87.10 | $102.33 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $120.23 | Professional | None | $54.95 | $75.86 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $281.84 Median $912.01 Typical High $2,187.76 | Facility | None | $281.84 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $165.96 | Professional | None | $74.13 | $100.00 | $165.96 |
United Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | None | $83.18 | $83.18 | $112.20 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier HE · Mental health program Typical Low $74.13 Median $77.62 Typical High $104.71 | Professional | HE · Mental health program | $74.13 | $77.62 | $104.71 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | HO · Master's level | $77.62 | $77.62 | $77.62 |
Where Indiana sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 43rd of 51
$83.18
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.