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 $19.95 Median $23.99 Typical High $41.69 | Facility | None | $19.95 | $23.99 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $26.92 | Professional | None | $21.38 | $23.44 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $30.20 | Professional | None | $21.88 | $23.44 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $114.82 Typical High $154.88 | Facility | None | $31.62 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $33.11 | Professional | None | $22.91 | $28.18 | $33.11 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $25.70 | Facility | None | $22.39 | $22.39 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $36.31 | Professional | None | $25.12 | $27.54 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $25.70 Typical High $38.90 | Professional | None | $22.39 | $25.70 | $38.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $2,187.76 | Facility | None | $64.57 | $83.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $40.74 | Professional | None | $20.42 | $26.92 | $40.74 |
United Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $34.67 | Professional | None | $22.91 | $26.92 | $34.67 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 25 · Same-day visit | $36.31 | $36.31 | $36.31 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 59 · Distinct service | $27.54 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | 93 · Audio-only telehealth | $23.44 | $23.44 | $27.54 |
Where Indiana sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 33rd of 51
$26.92
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.