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 $19.50 Median $22.91 Typical High $28.18 | Facility | None | $19.50 | $22.91 | $28.18 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $12.30 Median $13.49 Typical High $14.45 | Facility | 52 · Reduced service | $12.30 | $13.49 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $28.84 | Professional | None | $19.50 | $22.91 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $13.49 Typical High $14.45 | Professional | 52 · Reduced service | $12.30 | $13.49 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $40.74 | Professional | None | $21.38 | $30.90 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $58.88 | Facility | None | $30.90 | $30.90 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $30.90 | Professional | None | $21.38 | $25.70 | $30.90 |
CareSource Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $30.90 | Facility | None | $26.92 | $26.92 | $30.90 |
CareSource Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $40.74 | Professional | None | $28.18 | $30.90 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $50.12 | Professional | None | $29.51 | $34.67 | $50.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $2,187.76 | Facility | None | $69.18 | $93.33 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $44.67 | Professional | None | $24.55 | $30.20 | $44.67 |
United Setting Professional Modifier None Typical Low $28.18 Median $33.88 Typical High $44.67 | Professional | None | $28.18 | $33.88 | $44.67 |
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 25 · Same-day visit Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | 25 · Same-day visit | $34.67 | $34.67 | $40.74 |
Where Indiana sits
The same service costs 2.5 times more in Alaska than in New York. 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· 45th of 51
$27.54
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.