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 $2.04 Median $14.13 Typical High $151.36 | Facility | None | $2.04 | $14.13 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $14.13 | Professional | None | $12.02 | $14.13 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $114.82 Typical High $154.88 | Facility | None | $7.59 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $7.59 | Professional | None | $6.03 | $7.59 | $7.59 |
CareSource Setting Facility Modifier None Typical Low $4.57 Median $8.51 Typical High $8.51 | Facility | None | $4.57 | $8.51 | $8.51 |
CareSource Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $10.00 Typical High $15.85 | Professional | None | $5.25 | $10.00 | $15.85 |
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 $4.17 Median $9.77 Typical High $15.14 | Professional | None | $4.17 | $9.77 | $15.14 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.13 Typical High $7.94 | Professional | None | $3.89 | $5.13 | $7.94 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HO · Master's level | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier HP · Doctoral level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HP · Doctoral level | $12.30 | $12.30 | $12.30 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier U1 · State-defined Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | U1 · State-defined | $3.09 | $3.09 | $3.09 |
Where Indiana sits
The same service costs 11.0 times more in Washington, DC than in Alabama. 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· 36th of 51
$7.59
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.