How much rates vary
Facilitymedian $13 · 10th to 90th $10 to $33Professionalmedian $7 · 10th to 90th $6 to $13
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.94 Typical High $10.72 | Professional | None | $7.41 | $7.94 | $10.72 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.44 Median $0.78 Typical High $3.98 | Professional | RR · Rental | $0.44 | $0.78 | $3.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.62 Median $6.03 Typical High $7.94 | Professional | UE · Used equipment | $5.62 | $6.03 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | None | $16.60 | $16.60 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $13.18 Typical High $13.80 | Facility | None | $10.47 | $13.18 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $13.18 | Professional | None | $7.24 | $7.24 | $13.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.72 Median $0.72 Typical High $1.32 | Professional | RR · Rental | $0.72 | $0.72 | $1.32 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $5.50 Typical High $9.77 | Professional | UE · Used equipment | $5.50 | $5.50 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $2.09 Median $15.49 Typical High $20.89 | Facility | None | $2.09 | $15.49 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $64.57 | Professional | None | $7.08 | $7.08 | $64.57 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $6.76 | Professional | RR · Rental | $0.60 | $0.60 | $6.76 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $7.24 | Professional | UE · Used equipment | $5.37 | $5.37 | $7.24 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $19.95 Median $41.69 Typical High $2,187.76 | Facility | None | $19.95 | $41.69 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $7.24 Median $10.72 Typical High $19.05 | Professional | None | $7.24 | $10.72 | $19.05 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier RR · Rental Typical Low $0.81 Median $1.07 Typical High $1.91 | Professional | RR · Rental | $0.81 | $1.07 | $1.91 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier UE · Used equipment Typical Low $6.46 Median $8.13 Typical High $14.45 | Professional | UE · Used equipment | $6.46 | $8.13 | $14.45 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.46 Typical High $10.72 | Professional | None | $3.98 | $6.46 | $10.72 |
United Setting Professional Modifier RR · Rental Typical Low $0.41 Median $0.65 Typical High $1.02 | Professional | RR · Rental | $0.41 | $0.65 | $1.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $2.95 Median $4.79 Typical High $7.59 | Professional | UE · Used equipment | $2.95 | $4.79 | $7.59 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $0.44 Median $0.78 Typical High $0.95 | Professional | MS · Maintenance fee | $0.44 | $0.78 | $0.95 |
Where Indiana sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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· 21st of 51
$7.24
MN $15.14IL $1.35
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.