How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $8.13 | Professional | None | $7.41 | $7.41 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $22.91 Typical High $22.91 | Facility | None | $14.13 | $22.91 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $14.13 Typical High $14.13 | Professional | None | $6.46 | $14.13 | $14.13 |
CareSource Setting Facility Modifier None Typical Low $0.68 Median $7.24 Typical High $7.94 | Facility | None | $0.68 | $7.24 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $15.49 Typical High $22.91 | Facility | None | $8.32 | $15.49 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $16.60 | Professional | None | $8.32 | $10.96 | $16.60 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $19.50 Median $912.01 Typical High $2,290.87 | Facility | None | $19.50 | $912.01 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $8.13 Median $10.47 Typical High $15.49 | Professional | None | $8.13 | $10.47 | $15.49 |
United Setting Professional Modifier None Typical Low $7.08 Median $9.12 Typical High $13.49 | Professional | None | $7.08 | $9.12 | $13.49 |
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 $3.72 Median $3.72 Typical High $4.07 | Professional | 52 · Reduced service | $3.72 | $3.72 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.62 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.62 |
Where Indiana sits
The same service costs 2.6 times more in Alaska than in New York. 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· 17th of 51
$11.75
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.