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 $19.95 Median $29.51 Typical High $89.13 | Facility | None | $19.95 | $29.51 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $165.96 | Professional | None | $18.20 | $19.95 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $16.60 Typical High $16.60 | Professional | None | $14.45 | $16.60 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $23.99 Typical High $72.44 | Facility | None | $19.05 | $23.99 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $18.62 | Professional | None | $8.71 | $10.47 | $18.62 |
Anthem BCBS Setting Professional Modifier QW · Waived lab test Typical Low $16.60 Median $23.99 Typical High $47.86 | Professional | QW · Waived lab test | $16.60 | $23.99 | $47.86 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $15.49 Median $23.99 Typical High $27.54 | Professional | None | $15.49 | $23.99 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $23.99 Typical High $81.28 | Facility | None | $15.49 | $23.99 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $31.62 | Professional | None | $11.48 | $12.88 | $31.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $48.98 Median $912.01 Typical High $2,187.76 | Facility | None | $48.98 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier QW · Waived lab test Typical Low $15.49 Median $17.78 Typical High $20.89 | Professional | QW · Waived lab test | $15.49 | $17.78 | $20.89 |
United Setting Professional Modifier None Typical Low $10.00 Median $19.95 Typical High $28.84 | Professional | None | $10.00 | $19.95 | $28.84 |
2 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 Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.77 Typical High $83.18 | Professional | 52 · Reduced service | $9.55 | $9.77 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.98 Typical High $33.11 | Professional | 53 · Discontinued | $3.89 | $3.98 | $33.11 |
Where Indiana sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 46th of 51
$16.60
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.