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 Professional Modifier None Typical Low $5.50 Median $8.91 Typical High $33.11 | Professional | None | $5.50 | $8.91 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $11.22 Typical High $26.92 | Facility | None | $8.91 | $11.22 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $2.69 Typical High $12.59 | Professional | None | $2.00 | $2.69 | $12.59 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $7.24 Typical High $31.62 | Facility | None | $5.01 | $7.24 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $13.80 | Professional | None | $2.63 | $2.63 | $13.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $16.98 Median $912.01 Typical High $2,137.96 | Facility | None | $16.98 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.57 Median $9.12 Typical High $12.88 | Professional | None | $2.57 | $9.12 | $12.88 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $7.41 | Professional | None | $2.09 | $3.02 | $7.41 |
3 more rates 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 Facility Modifier 52 · Reduced service Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | 52 · Reduced service | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $4.37 Typical High $10.96 | Professional | 52 · Reduced service | $4.17 | $4.37 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.74 Typical High $4.37 | Professional | 53 · Discontinued | $1.66 | $1.74 | $4.37 |
Where Indiana sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 34th of 51
$5.01
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.