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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $67.61 | Professional | None | $51.29 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | 52 · Reduced service | $25.70 | $25.70 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $75.86 | Professional | None | $51.29 | $66.07 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $134.90 | Facility | None | $69.18 | $69.18 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $74.13 | Professional | None | $56.23 | $69.18 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $114.82 | Professional | None | $63.10 | $74.13 | $114.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $186.21 Median $912.01 Typical High $2,187.76 | Facility | None | $186.21 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $120.23 | Professional | None | $47.86 | $74.13 | $120.23 |
United Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $100.00 | Professional | None | $61.66 | $75.86 | $100.00 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | 25 · Same-day visit | $79.43 | $79.43 | $79.43 |
Where Indiana sits
The same service costs 3.0 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· 35th of 51
$69.18
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.