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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $676.08 Typical High $891.25 | Professional | None | $645.65 | $676.08 | $891.25 |
Ambetter Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,122.02 | Professional | None | $954.99 | $1,047.13 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $2,238.72 | Facility | None | $977.24 | $977.24 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,174.90 | Professional | None | $758.58 | $977.24 | $1,174.90 |
CareSource Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $912.01 | Facility | None | $794.33 | $794.33 | $912.01 |
CareSource Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,230.27 | Professional | None | $812.83 | $891.25 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,479.11 | Professional | None | $831.76 | $912.01 | $1,479.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,398.83 | Facility | None | $912.01 | $2,089.30 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,318.26 | Professional | None | $707.95 | $891.25 | $1,318.26 |
United Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,230.27 | Professional | None | $776.25 | $933.25 | $1,230.27 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 25 · Same-day visit | $1,000.00 | $1,000.00 | $1,000.00 |
Where Indiana sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 28th of 51
$977
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.