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 $18.20 Median $18.20 Typical High $151.36 | Facility | None | $18.20 | $18.20 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | None | $18.20 | $18.20 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $114.82 Typical High $154.88 | Facility | None | $4.27 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.68 | Professional | None | $3.39 | $3.39 | $4.68 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $44.67 | Facility | None | $19.05 | $19.05 | $44.67 |
CareSource Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $21.88 Typical High $56.23 | Professional | None | $5.62 | $21.88 | $56.23 |
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 $6.76 Median $12.30 Typical High $19.05 | Professional | None | $6.76 | $12.30 | $19.05 |
United Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $38.02 | Professional | None | $17.38 | $23.44 | $38.02 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HO · Master's level | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HP · Doctoral level | $8.32 | $8.32 | $8.32 |
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 U3 · State-defined Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | U3 · State-defined | $23.99 | $23.99 | $23.99 |
Where Indiana sits
The same service costs 13.2 times more in North Carolina than in Ohio. 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· 50th of 51
$4.27
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.