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 $1.12 Median $1.12 Typical High $1.12 | Facility | None | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $1.12 Typical High $1.12 | Professional | None | $0.76 | $1.12 | $1.12 |
Ambetter Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $95.50 | Professional | None | $1.10 | $1.10 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.59 Median $0.59 Typical High $1.12 | Facility | None | $0.59 | $0.59 | $1.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.59 Median $0.78 Typical High $1.35 | Professional | None | $0.59 | $0.78 | $1.35 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.44 Median $0.59 Typical High $0.59 | Professional | UE · Used equipment | $0.44 | $0.59 | $0.59 |
CareSource Setting Facility Modifier None Typical Low $0.85 Median $1.51 Typical High $2.00 | Facility | None | $0.85 | $1.51 | $2.00 |
Cigna Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $6.61 | Professional | None | $0.68 | $0.68 | $6.61 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $3.98 Median $912.01 Typical High $2,187.76 | Facility | None | $3.98 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $0.79 Median $1.00 Typical High $2.00 | Professional | None | $0.79 | $1.00 | $2.00 |
United Setting Professional Modifier None Typical Low $0.38 Median $0.68 Typical High $1.12 | Professional | None | $0.38 | $0.68 | $1.12 |
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 $0.07 Median $0.08 Typical High $0.11 | Professional | RR · Rental | $0.07 | $0.08 | $0.11 |
Where Indiana sits
The same service costs 2.9 times more in Hawaii than in Colorado. 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· 30th of 51
$0.78
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.