How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $10.96 Median $19.95 Typical High $66.07 | Facility | None | $10.96 | $19.95 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $42.66 Typical High $56.23 | Professional | None | $11.48 | $42.66 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $8.91 Typical High $9.77 | Professional | 53 · Discontinued | $2.29 | $8.91 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $44.67 | Professional | None | $9.55 | $12.88 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $22.91 | Facility | None | $12.02 | $12.02 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $15.85 | Professional | None | $10.23 | $12.02 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
CareSource Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $58.88 | Professional | None | $37.15 | $44.67 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $38.90 Typical High $79.43 | Professional | None | $12.30 | $38.90 | $79.43 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $31.62 Median $134.90 Typical High $2,187.76 | Facility | None | $31.62 | $134.90 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $11.48 Median $24.55 Typical High $77.62 | Professional | None | $11.48 | $24.55 | $77.62 |
United Setting Professional Modifier None Typical Low $11.48 Median $39.81 Typical High $75.86 | Professional | None | $11.48 | $39.81 | $75.86 |
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 59 · Distinct service Typical Low $12.88 Median $13.49 Typical High $15.49 | Professional | 59 · Distinct service | $12.88 | $13.49 | $15.49 |
Where Indiana sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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
$14.45
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.