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 $53.70 Median $54.95 Typical High $60.26 | Facility | None | $53.70 | $54.95 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $79.43 | Professional | None | $54.95 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $30.20 Typical High $34.67 | Professional | 52 · Reduced service | $27.54 | $30.20 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $83.18 | Professional | None | $53.70 | $69.18 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $309.03 Typical High $416.87 | Facility | None | $74.13 | $309.03 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $83.18 | Professional | None | $58.88 | $74.13 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
CareSource Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $109.65 | Professional | None | $75.86 | $83.18 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $125.89 | Professional | None | $72.44 | $85.11 | $125.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $190.55 Median $912.01 Typical High $2,187.76 | Facility | None | $190.55 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $125.89 | Professional | None | $54.95 | $77.62 | $125.89 |
United Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $109.65 | Professional | None | $67.61 | $83.18 | $109.65 |
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 $64.57 Median $83.18 Typical High $104.71 | Professional | 25 · Same-day visit | $64.57 | $83.18 | $104.71 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | 33 · Preventive service | $70.79 | $83.18 | $83.18 |
Where Indiana sits
The same service costs 2.8 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· 40th of 51
$74.13
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.