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 $269.15 Median $5,011.87 Typical High $7,244.36 | Facility | None | $269.15 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $489.78 Typical High $741.31 | Professional | None | $269.15 | $489.78 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $588.84 | Professional | None | $537.03 | $537.03 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $3,235.94 Typical High $6,309.57 | Facility | None | $741.31 | $3,235.94 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $275.42 Median $645.65 Typical High $831.76 | Professional | None | $275.42 | $645.65 | $831.76 |
CareSource Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $676.08 | Facility | None | $323.59 | $323.59 | $676.08 |
CareSource Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $794.33 | Professional | None | $575.44 | $645.65 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,230.27 | Facility | None | $446.68 | $691.83 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $870.96 | Professional | None | $316.23 | $489.78 | $870.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $616.60 Median $891.25 Typical High $1,995.26 | Facility | None | $616.60 | $891.25 | $1,995.26 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $870.96 | Professional | None | $346.74 | $549.54 | $870.96 |
United Setting Facility Modifier None Typical Low $109.65 Median $812.83 Typical High $4,168.69 | Facility | None | $109.65 | $812.83 | $4,168.69 |
United Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $912.01 | Professional | None | $295.12 | $501.19 | $912.01 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $371.54 Typical High $436.52 | Professional | 54 · Surgery only | $199.53 | $371.54 | $436.52 |
Where Indiana sits
The same service costs 3.1 times more in Alaska than in Maryland. 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· 23rd of 51
$589
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.