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 $11.75 Median $14.13 Typical High $20.42 | Facility | None | $11.75 | $14.13 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $16.60 | Professional | None | $12.02 | $12.30 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $13.49 | Professional | None | $10.00 | $13.18 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $114.82 Typical High $151.36 | Facility | None | $13.80 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $13.80 Typical High $16.22 | Professional | None | $10.72 | $13.80 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $16.22 | Professional | None | $10.23 | $12.30 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $23.44 | Professional | None | $13.18 | $18.20 | $23.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $32.36 Median $912.01 Typical High $2,187.76 | Facility | None | $32.36 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $22.91 | Professional | None | $12.59 | $15.85 | $22.91 |
United Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $30.20 | Professional | None | $12.59 | $16.22 | $30.20 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $6.17 Typical High $7.08 | Professional | 52 · Reduced service | $5.62 | $6.17 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.45 Typical High $2.82 | Professional | 53 · Discontinued | $2.29 | $2.45 | $2.82 |
Where Indiana sits
The same service costs 3.0 times more in Minnesota 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· 45th of 51
$13.80
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.