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 $1,122.02 Median $5,011.87 Typical High $11,220.18 | Facility | None | $1,122.02 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,698.24 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $5,370.32 Typical High $9,549.93 | Facility | None | $741.31 | $5,370.32 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,659.59 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $891.25 Median $1,047.13 Typical High $1,412.54 | Professional | 62 · Two surgeons | $891.25 | $1,047.13 | $1,412.54 |
CareSource Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,737.80 | Facility | None | $1,584.89 | $1,584.89 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,412.54 Typical High $2,818.38 | Facility | None | $933.25 | $1,412.54 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $9,120.11 | Professional | None | $1,348.96 | $1,862.09 | $9,120.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $5,248.07 | Facility | None | $1,288.25 | $2,089.30 | $5,248.07 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $3,801.89 | Professional | None | $1,949.84 | $2,691.53 | $3,801.89 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,348.96 Typical High $3,801.89 | Facility | None | $398.11 | $1,348.96 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $3,467.37 | Professional | None | $1,258.93 | $1,905.46 | $3,467.37 |
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 $1,000.00 Median $1,258.93 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,000.00 | $1,258.93 | $1,348.96 |
Where Indiana sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 48th of 51
$1,698
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.