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 $0.56 Median $0.56 Typical High $0.56 | Facility | None | $0.56 | $0.56 | $0.56 |
Aetna Setting Professional Modifier None Typical Low $0.34 Median $0.56 Typical High $0.56 | Professional | None | $0.34 | $0.56 | $0.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.26 | Professional | None | $1.00 | $1.00 | $1.26 |
CareSource Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $3.80 Typical High $3.80 | Professional | None | $3.24 | $3.80 | $3.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $0.14 Median $0.49 Typical High $245.47 | Professional | None | $0.14 | $0.49 | $245.47 |
United Setting Professional Modifier None Typical Low $0.28 Median $0.40 Typical High $0.71 | Professional | None | $0.28 | $0.40 | $0.71 |
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 UE · Used equipment Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | UE · Used equipment | $0.76 | $0.76 | $0.76 |
Where Indiana sits
The same service costs 177.8 times more in Wyoming 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· 7th of 51
$1.00
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.