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 $0.28 Median $0.28 Typical High $0.28 | Facility | None | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier None Typical Low $0.19 Median $0.28 Typical High $0.28 | Professional | None | $0.19 | $0.28 | $0.28 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.16 Median $0.16 Typical High $0.31 | Facility | None | $0.16 | $0.16 | $0.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.16 Median $0.26 Typical High $0.38 | Professional | None | $0.16 | $0.26 | $0.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.12 Median $0.16 Typical High $0.17 | Professional | UE · Used equipment | $0.12 | $0.16 | $0.17 |
CareSource Setting Facility Modifier None Typical Low $0.49 Median $0.49 Typical High $0.51 | Facility | None | $0.49 | $0.49 | $0.51 |
CareSource Setting Professional Modifier None Typical Low $0.34 Median $0.41 Typical High $0.48 | Professional | None | $0.34 | $0.41 | $0.48 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $1.70 | Professional | None | $0.17 | $0.17 | $1.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1.02 Median $912.01 Typical High $2,187.76 | Facility | None | $1.02 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $0.21 Median $0.27 Typical High $0.56 | Professional | None | $0.21 | $0.27 | $0.56 |
United Setting Professional Modifier None Typical Low $0.10 Median $0.17 Typical High $0.28 | Professional | None | $0.10 | $0.17 | $0.28 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | RR · Rental | $0.03 | $0.03 | $0.04 |
Where Indiana sits
The same service costs 2.9 times more in Hawaii than in Utah. 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· 23rd of 51
$0.22
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.