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 $14.13 Median $22.39 Typical High $64.57 | Facility | None | $14.13 | $22.39 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $32.36 | Professional | None | $12.88 | $14.13 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $23.99 | Professional | None | $19.05 | $19.95 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $56.23 | Facility | None | $14.79 | $18.62 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.09 Median $4.79 Typical High $20.42 | Professional | None | $3.09 | $4.79 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $15.14 Typical High $51.29 | Facility | None | $9.55 | $15.14 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $8.91 Typical High $22.91 | Professional | None | $4.07 | $8.91 | $22.91 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $15.49 Median $56.23 Typical High $2,089.30 | Facility | None | $15.49 | $56.23 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $4.27 Median $14.13 Typical High $20.89 | Professional | None | $4.27 | $14.13 | $20.89 |
United Setting Professional Modifier None Typical Low $4.90 Median $10.72 Typical High $18.20 | Professional | None | $4.90 | $10.72 | $18.20 |
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 $6.76 Median $7.08 Typical High $13.49 | Professional | 52 · Reduced service | $6.76 | $7.08 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.82 Typical High $5.37 | Professional | 53 · Discontinued | $2.75 | $2.82 | $5.37 |
Where Indiana sits
The same service costs 4.8 times more in Montana than in Kentucky. 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· 28th of 51
$12.88
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.