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 $72.44 Median $89.13 Typical High $120.23 | Facility | None | $72.44 | $89.13 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $102.33 | Professional | None | $72.44 | $83.18 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $107.15 | Professional | None | $70.79 | $81.28 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $208.93 | Facility | None | $95.50 | $95.50 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $107.15 | Professional | None | $75.86 | $91.20 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $97.72 Median $100.00 Typical High $112.20 | Facility | None | $97.72 | $100.00 | $112.20 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $141.25 | Professional | None | $91.20 | $107.15 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $128.82 | Professional | None | $57.54 | $77.62 | $128.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $2,187.76 | Facility | None | $295.12 | $331.13 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $190.55 | Professional | None | $77.62 | $102.33 | $190.55 |
United Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $117.49 | Professional | None | $87.10 | $87.10 | $117.49 |
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 $85.11 Median $89.13 Typical High $102.33 | Professional | AF · Specialist physician | $85.11 | $89.13 | $102.33 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 59 · Distinct service | $75.86 | $75.86 | $75.86 |
Ambetter Setting Professional Modifier HE · Mental health program Typical Low $70.79 Median $81.28 Typical High $97.72 | Professional | HE · Mental health program | $70.79 | $81.28 | $97.72 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | HO · Master's level | $75.86 | $81.28 | $81.28 |
Where Indiana sits
The same service costs 1.7 times more in Alaska than in Ohio. 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· 44th of 51
$87.10
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.