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 $5.62 Median $5.62 Typical High $11.48 | Facility | None | $5.62 | $5.62 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.62 Median $8.51 Typical High $11.22 | Facility | None | $5.62 | $8.51 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $10.72 | Professional | None | $5.62 | $5.62 | $10.72 |
CareSource Setting Facility Modifier None Typical Low $5.62 Median $8.51 Typical High $11.22 | Facility | None | $5.62 | $8.51 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $13.49 Typical High $15.49 | Facility | None | $6.31 | $13.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $15.49 | Professional | None | $5.62 | $5.62 | $15.49 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $6.61 Median $11.22 Typical High $16.60 | Facility | None | $6.61 | $11.22 | $16.60 |
United Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $17.78 | Professional | None | $5.62 | $5.62 | $17.78 |
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 $2.82 Median $2.82 Typical High $2.82 | Professional | 52 · Reduced service | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.12 |
Where Indiana sits
The same service costs 1.7 times more in Arizona than in Vermont. 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· 16th of 51
$6.17
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.