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 $1,380.38 Median $5,011.87 Typical High $11,220.18 | Facility | None | $1,380.38 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,454.71 | Professional | None | $1,949.84 | $1,949.84 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $7,413.10 Typical High $17,378.01 | Facility | None | $1,096.48 | $7,413.10 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,778.28 | Professional | None | $977.24 | $1,148.15 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $1,698.24 Typical High $2,630.27 | Professional | 50 · Both sides | $1,445.44 | $1,698.24 | $2,630.27 |
CareSource Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $4,073.80 | Facility | None | $2,398.83 | $2,398.83 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,630.27 Typical High $4,168.69 | Facility | None | $645.65 | $2,630.27 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $3,630.78 | Professional | None | $1,513.56 | $2,454.71 | $3,630.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $4,168.69 Typical High $5,888.44 | Facility | None | $954.99 | $4,168.69 | $5,888.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $4,365.16 | Professional | None | $1,778.28 | $2,089.30 | $4,365.16 |
United Setting Facility Modifier None Typical Low $870.96 Median $4,168.69 Typical High $9,120.11 | Facility | None | $870.96 | $4,168.69 | $9,120.11 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $3,801.89 | Professional | None | $1,862.09 | $2,398.83 | $3,801.89 |
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 $977.24 Median $977.24 Typical High $1,202.26 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $489.78 | Professional | 53 · Discontinued | $389.05 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $363.08 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $245.47 |
Where Indiana sits
The same service costs 7.1 times more in Alaska 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· 49th of 51
$1,995
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.