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 $46.77 Median $69.18 Typical High $87.10 | Facility | None | $46.77 | $69.18 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $48.98 | Professional | None | $45.71 | $46.77 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $69.18 Typical High $91.20 | Facility | None | $44.67 | $69.18 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $45.71 Typical High $87.10 | Professional | None | $44.67 | $45.71 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $79.43 | Facility | None | $43.65 | $43.65 | $79.43 |
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 $51.29 Median $123.03 Typical High $125.89 | Facility | None | $51.29 | $123.03 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $120.23 | Professional | None | $45.71 | $45.71 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $60.26 Median $89.13 Typical High $134.90 | Facility | None | $60.26 | $89.13 | $134.90 |
United Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $141.25 | Professional | None | $44.67 | $44.67 | $141.25 |
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 JZ · No drug discarded Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | JZ · No drug discarded | $38.02 | $38.02 | $38.02 |
Where Indiana sits
The same service costs 1.6 times more in Arizona 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· 19th of 51
$48.98
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.