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 $19.50 Median $22.39 Typical High $22.39 | Facility | None | $19.50 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $22.39 Typical High $27.54 | Professional | None | $21.88 | $22.39 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $33.11 Typical High $33.11 | Professional | None | $18.62 | $33.11 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.38 Median $114.82 Typical High $151.36 | Facility | None | $21.38 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $33.11 | Professional | None | $18.20 | $21.38 | $33.11 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $30.20 | Professional | None | $22.39 | $24.55 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $36.31 | Professional | None | $18.20 | $23.44 | $36.31 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $2,187.76 | Facility | None | $57.54 | $67.61 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $13.49 Median $25.12 Typical High $42.66 | Professional | None | $13.49 | $25.12 | $42.66 |
United Setting Professional Modifier None Typical Low $16.98 Median $21.38 Typical High $38.02 | Professional | None | $16.98 | $21.38 | $38.02 |
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 $10.96 Median $10.96 Typical High $12.59 | Professional | 52 · Reduced service | $10.96 | $10.96 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $5.13 | Professional | 53 · Discontinued | $4.47 | $4.47 | $5.13 |
Where Indiana sits
The same service costs 2.8 times more in Alaska 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· 49th of 51
$21.88
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.