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 $245.47 Median $5,011.87 Typical High $17,782.79 | Facility | None | $245.47 | $5,011.87 | $17,782.79 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $346.74 | Professional | None | $229.09 | $245.47 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $38,904.51 Typical High $77,624.71 | Facility | None | $2,570.40 | $38,904.51 | $77,624.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $758.58 | Professional | None | $389.05 | $537.03 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $371.54 Median $5,623.41 Typical High $8,317.64 | Facility | None | $371.54 | $5,623.41 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $25,703.96 Typical High $42,657.95 | Facility | None | $645.65 | $25,703.96 | $42,657.95 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $45,708.82 | Facility | None | $912.01 | $954.99 | $45,708.82 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $14,454.40 Typical High $29,512.09 | Facility | None | $1,548.82 | $14,454.40 | $29,512.09 |
United Setting Professional Modifier None Typical Low $331.13 Median $512.86 Typical High $707.95 | Professional | None | $331.13 | $512.86 | $707.95 |
5 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 $114.82 Median $123.03 Typical High $173.78 | Professional | 52 · Reduced service | $114.82 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $48.98 Typical High $69.18 | Professional | 53 · Discontinued | $45.71 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $181.97 Typical High $257.04 | Professional | 54 · Surgery only | $173.78 | $181.97 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $37.15 Typical High $51.29 | Professional | 55 · Aftercare only | $34.67 | $37.15 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $24.55 Typical High $34.67 | Professional | 56 · Pre-op care only | $22.91 | $24.55 | $34.67 |
Where Indiana sits
The same service costs 63.1 times more in Arkansas than in New York. 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· 38th of 51
$676
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.