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 $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $3.24 Typical High $3.24 | Professional | None | $2.14 | $3.24 | $3.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.91 Median $1.91 Typical High $3.63 | Facility | None | $1.91 | $1.91 | $3.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.00 Typical High $3.89 | Professional | None | $1.91 | $2.00 | $3.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.19 Median $0.19 Typical High $0.27 | Professional | RR · Rental | $0.19 | $0.19 | $0.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.41 Median $1.41 Typical High $2.04 | Professional | UE · Used equipment | $1.41 | $1.41 | $2.04 |
CareSource Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.62 | Facility | None | $5.50 | $5.50 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.45 | Facility | None | $2.29 | $2.29 | $2.45 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $2.29 Typical High $18.62 | Professional | None | $1.95 | $2.29 | $18.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $11.48 Median $912.01 Typical High $2,187.76 | Facility | None | $11.48 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.34 Median $3.09 Typical High $5.50 | Professional | None | $2.34 | $3.09 | $5.50 |
United Setting Professional Modifier None Typical Low $1.07 Median $1.86 Typical High $3.16 | Professional | None | $1.07 | $1.86 | $3.16 |
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 KX · Policy requirements met Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | KX · Policy requirements met | $2.69 | $2.69 | $2.69 |
Where Indiana sits
The same service costs 2.2 times more in Kansas than in Alabama. 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· 45th of 51
$2.00
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.