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 $61.66 Median $61.66 Typical High $89.13 | Facility | None | $61.66 | $61.66 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $102.33 | Professional | None | $61.66 | $81.28 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $147.91 | Professional | None | $79.43 | $125.89 | $147.91 |
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 $53.70 Median $63.10 Typical High $83.18 | Professional | None | $53.70 | $63.10 | $83.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $81.28 Median $95.50 Typical High $128.82 | Professional | 50 · Both sides | $81.28 | $95.50 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $131.83 | Facility | None | $69.18 | $69.18 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $190.55 | Facility | None | $66.07 | $112.20 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $194.98 | Professional | None | $66.07 | $89.13 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $954.99 | Facility | None | $120.23 | $229.09 | $954.99 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $173.78 | Professional | None | $81.28 | $128.82 | $173.78 |
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 $58.88 Median $83.18 Typical High $144.54 | Professional | None | $58.88 | $83.18 | $144.54 |
4 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 $30.90 Median $39.81 Typical High $47.86 | Professional | 52 · Reduced service | $30.90 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $15.85 Typical High $19.50 | Professional | 53 · Discontinued | $12.30 | $15.85 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.02 Typical High $14.45 | Professional | 55 · Aftercare only | $9.33 | $12.02 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.94 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.17 | $7.94 | $9.55 |
Where Indiana sits
The same service costs 3.7 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· 47th of 51
$81.28
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.