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 $8.71 Median $9.33 Typical High $17.38 | Facility | None | $8.71 | $9.33 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $18.62 | Professional | None | $8.71 | $13.49 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $6.03 Typical High $9.12 | Professional | 52 · Reduced service | $4.37 | $6.03 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $17.78 | Professional | None | $15.14 | $17.78 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $114.82 Typical High $154.88 | Facility | None | $8.91 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $13.18 Typical High $16.22 | Professional | None | $7.59 | $13.18 | $16.22 |
CareSource Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $22.91 | Professional | None | $15.85 | $17.78 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $21.38 | Professional | None | $15.14 | $15.14 | $21.38 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $23.44 Median $912.01 Typical High $2,187.76 | Facility | None | $23.44 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $7.59 Median $11.22 Typical High $18.20 | Professional | None | $7.59 | $11.22 | $18.20 |
United Setting Professional Modifier None Typical Low $8.71 Median $14.79 Typical High $23.44 | Professional | None | $8.71 | $14.79 | $23.44 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 59 · Distinct service | $17.38 | $17.78 | $17.78 |
Where Indiana sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 50th of 51
$13.80
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.