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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $30.20 | Professional | None | $22.39 | $24.55 | $30.20 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.24 Median $2.24 Typical High $3.02 | Professional | RR · Rental | $2.24 | $2.24 | $3.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $18.20 Typical High $22.39 | Professional | UE · Used equipment | $16.98 | $18.20 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $28.18 | Professional | None | $19.95 | $19.95 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $40.74 Typical High $40.74 | Facility | None | $31.62 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $40.74 | Professional | None | $19.50 | $19.50 | $40.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.95 Median $1.95 Typical High $2.95 | Professional | RR · Rental | $1.95 | $1.95 | $2.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $14.79 Typical High $18.62 | Professional | UE · Used equipment | $14.79 | $14.79 | $18.62 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $58.88 | Facility | None | $57.54 | $57.54 | $58.88 |
CareSource Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Facility | None | $25.12 | $25.12 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $194.98 | Professional | None | $21.38 | $21.38 | $194.98 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $16.22 | Professional | RR · Rental | $2.14 | $2.14 | $16.22 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $60.26 Median $128.82 Typical High $2,187.76 | Facility | None | $60.26 | $128.82 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $63.10 | Professional | None | $25.70 | $38.02 | $63.10 |
United Setting Professional Modifier None Typical Low $11.22 Median $19.50 Typical High $33.11 | Professional | None | $11.22 | $19.50 | $33.11 |
United Setting Professional Modifier RR · Rental Typical Low $1.15 Median $1.58 Typical High $2.88 | Professional | RR · Rental | $1.15 | $1.58 | $2.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $11.48 Typical High $25.12 | Professional | UE · Used equipment | $8.32 | $11.48 | $25.12 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | MS · Maintenance fee | $2.24 | $2.24 | $2.24 |
Where Indiana sits
The same service costs 2.6 times more in Hawaii than in Rhode Island. 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· 36th of 51
$21.38
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.