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 $32.36 Median $32.36 Typical High $61.66 | Facility | None | $32.36 | $32.36 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $53.70 | Professional | None | $32.36 | $45.71 | $53.70 |
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 $28.84 Median $42.66 Typical High $54.95 | Professional | None | $28.84 | $42.66 | $54.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $43.65 Median $63.10 Typical High $83.18 | Professional | 50 · Both sides | $43.65 | $63.10 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $616.60 Typical High $912.01 | Facility | None | $35.48 | $616.60 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $602.56 | Facility | None | $50.12 | $66.07 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $53.70 Typical High $112.20 | Professional | None | $33.88 | $53.70 | $112.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $87.10 Median $194.98 Typical High $2,137.96 | Facility | None | $87.10 | $194.98 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $40.74 Median $69.18 Typical High $102.33 | Professional | None | $40.74 | $69.18 | $102.33 |
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 $30.20 Median $45.71 Typical High $79.43 | Professional | None | $30.20 | $45.71 | $79.43 |
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 $16.22 Median $22.39 Typical High $26.92 | Professional | 52 · Reduced service | $16.22 | $22.39 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $9.12 Typical High $10.72 | Professional | 53 · Discontinued | $6.46 | $9.12 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $6.76 Typical High $8.13 | Professional | 55 · Aftercare only | $4.79 | $6.76 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $4.47 Typical High $5.37 | Professional | 56 · Pre-op care only | $3.24 | $4.47 | $5.37 |
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· 46th of 51
$44.67
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.