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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $47.86 | Professional | None | $29.51 | $30.90 | $47.86 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $47.86 | Professional | None | $28.84 | $38.90 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $109.65 | Facility | None | $56.23 | $56.23 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $56.23 Typical High $69.18 | Professional | None | $33.88 | $56.23 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Facility | None | $36.31 | $36.31 | $40.74 |
CareSource Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $61.66 | Professional | None | $37.15 | $50.12 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $70.79 | Professional | None | $30.90 | $41.69 | $70.79 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $2,187.76 | Facility | None | $85.11 | $109.65 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $57.54 | Professional | None | $33.11 | $45.71 | $57.54 |
United Setting Professional Modifier None Typical Low $31.62 Median $40.74 Typical High $66.07 | Professional | None | $31.62 | $40.74 | $66.07 |
2 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 $33.88 Median $45.71 Typical High $45.71 | Professional | 25 · Same-day visit | $33.88 | $45.71 | $45.71 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | GC · Resident with teaching physician | $43.65 | $43.65 | $51.29 |
Where Indiana sits
The same service costs 2.9 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· 24th of 51
$44.67
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.