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 $14.79 Median $15.14 Typical High $151.36 | Facility | None | $14.79 | $15.14 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $23.99 | Professional | None | $22.39 | $23.99 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $309.03 Typical High $416.87 | Facility | None | $13.49 | $309.03 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $13.49 Typical High $14.45 | Professional | None | $10.72 | $13.49 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $33.11 | Facility | None | $16.98 | $16.98 | $33.11 |
CareSource Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $42.66 | Professional | None | $10.00 | $16.60 | $42.66 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $20.42 | Professional | None | $12.59 | $15.14 | $20.42 |
United Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $57.54 | Professional | None | $28.18 | $36.31 | $57.54 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HO · Master's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HP · Doctoral level | $16.60 | $16.60 | $16.60 |
Where Indiana sits
The same service costs 4.5 times more in Wyoming than in West Virginia. 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· 48th of 51
$13.49
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.