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 $20.42 Median $91.20 Typical High $91.20 | Facility | None | $20.42 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $112.20 | Professional | None | $18.62 | $21.38 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $75.86 | Facility | None | $19.95 | $25.12 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $27.54 | Professional | None | $7.24 | $10.00 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $70.79 | Facility | None | $16.22 | $25.12 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $14.79 Typical High $30.90 | Professional | None | $9.55 | $14.79 | $30.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $23.99 Median $912.01 Typical High $2,137.96 | Facility | None | $23.99 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $21.88 | Professional | None | $15.85 | $18.62 | $21.88 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $30.20 | Professional | None | $11.22 | $15.14 | $30.20 |
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 $9.33 Median $10.23 Typical High $26.92 | Professional | 52 · Reduced service | $9.33 | $10.23 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.07 Typical High $10.72 | Professional | 53 · Discontinued | $3.72 | $4.07 | $10.72 |
Where Indiana sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 39th of 51
$16.22
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.