How much rates vary
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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $89.13 | Professional | None | $48.98 | $61.66 | $89.13 |
Aetna Setting Professional Modifier RR · Rental Typical Low $3.98 Median $6.17 Typical High $9.55 | Professional | RR · Rental | $3.98 | $6.17 | $9.55 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $46.77 Typical High $52.48 | Professional | UE · Used equipment | $38.02 | $46.77 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $102.33 | Facility | None | $77.62 | $97.72 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $109.65 | Professional | None | $74.13 | $89.13 | $109.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.41 Median $7.94 Typical High $10.72 | Professional | RR · Rental | $7.41 | $7.94 | $10.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $56.23 Typical High $79.43 | Professional | UE · Used equipment | $54.95 | $56.23 | $79.43 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $128.82 Typical High $173.78 | Facility | None | $13.49 | $128.82 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $64.57 | Facility | None | $60.26 | $60.26 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $112.20 | Professional | None | $51.29 | $60.26 | $112.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $234.42 Median $912.01 Typical High $2,137.96 | Facility | None | $234.42 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $97.72 | Professional | None | $58.88 | $77.62 | $97.72 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier RR · Rental Typical Low $5.62 Median $7.76 Typical High $9.77 | Professional | RR · Rental | $5.62 | $7.76 | $9.77 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $57.54 Typical High $74.13 | Professional | UE · Used equipment | $44.67 | $57.54 | $74.13 |
United Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $89.13 | Professional | None | $30.90 | $54.95 | $89.13 |
United Setting Professional Modifier RR · Rental Typical Low $3.09 Median $5.62 Typical High $8.91 | Professional | RR · Rental | $3.09 | $5.62 | $8.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $41.69 Typical High $67.61 | Professional | UE · Used equipment | $23.44 | $41.69 | $67.61 |
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 $6.17 Median $6.17 Typical High $6.17 | Professional | MS · Maintenance fee | $6.17 | $6.17 | $6.17 |
Where Indiana sits
The same service costs 2.7 times more in Kansas 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· 19th of 51
$75.86
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.