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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $117.49 | Professional | None | $85.11 | $87.10 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | None | $97.72 | $97.72 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $389.05 | Facility | None | $165.96 | $165.96 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $165.96 Typical High $199.53 | Professional | None | $104.71 | $165.96 | $199.53 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $117.49 | Facility | None | $102.33 | $102.33 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $162.18 | Professional | None | $107.15 | $117.49 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $199.53 | Professional | None | $109.65 | $123.03 | $199.53 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $245.47 Median $316.23 Typical High $2,187.76 | Facility | None | $245.47 | $316.23 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $169.82 | Professional | None | $93.33 | $117.49 | $169.82 |
United Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $165.96 | Professional | None | $102.33 | $123.03 | $165.96 |
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 $128.82 Median $128.82 Typical High $128.82 | Professional | 25 · Same-day visit | $128.82 | $128.82 | $128.82 |
Where Indiana sits
The same service costs 2.8 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· 20th of 51
$141
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.