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 $19.50 Median $23.44 Typical High $26.92 | Facility | None | $19.50 | $23.44 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.50 Typical High $20.42 | Professional | None | $19.05 | $19.50 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $38.02 | Facility | None | $18.62 | $28.84 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $19.05 Typical High $36.31 | Professional | None | $18.62 | $19.05 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $24.55 Median $37.15 Typical High $48.98 | Facility | None | $24.55 | $37.15 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $47.86 Typical High $52.48 | Facility | None | $21.88 | $47.86 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $66.07 | Professional | None | $19.05 | $19.05 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $12.30 Median $48.98 Typical High $58.88 | Facility | None | $12.30 | $48.98 | $58.88 |
United Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $58.88 | Professional | None | $18.62 | $18.62 | $58.88 |
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 $19.05 Median $19.05 Typical High $19.05 | Professional | JZ · No drug discarded | $19.05 | $19.05 | $19.05 |
Where Indiana sits
The same service costs 19.5 times more in Alabama than in Oklahoma. 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· 17th of 51
$20.42
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.