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 $177.83 Median $2,951.21 Typical High $17,378.01 | Facility | None | $177.83 | $2,951.21 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $1,621.81 Typical High $2,818.38 | Professional | None | $165.96 | $1,621.81 | $2,818.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $11,481.54 Typical High $23,988.33 | Facility | None | $1,479.11 | $11,481.54 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $223.87 | Professional | None | $128.82 | $158.49 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $8,709.64 | Facility | None | $173.78 | $173.78 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $6,456.54 Typical High $9,120.11 | Facility | None | $645.65 | $6,456.54 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $3,981.07 | Professional | None | $173.78 | $309.03 | $3,981.07 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $457.09 Median $7,079.46 Typical High $10,715.19 | Facility | None | $457.09 | $7,079.46 | $10,715.19 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $186.21 Median $398.11 Typical High $3,981.07 | Professional | None | $186.21 | $398.11 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,677.35 Typical High $12,022.64 | Facility | None | $1,230.27 | $4,677.35 | $12,022.64 |
United Setting Professional Modifier None Typical Low $165.96 Median $2,290.87 Typical High $5,011.87 | Professional | None | $165.96 | $2,290.87 | $5,011.87 |
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 $83.18 Median $1,071.52 Typical High $1,412.54 | Professional | 52 · Reduced service | $83.18 | $1,071.52 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $426.58 Typical High $562.34 | Professional | 53 · Discontinued | $33.11 | $426.58 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $1,584.89 Typical High $2,089.30 | Professional | 54 · Surgery only | $125.89 | $1,584.89 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $323.59 Typical High $416.87 | Professional | 55 · Aftercare only | $25.12 | $323.59 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $213.80 Typical High $281.84 | Professional | 56 · Pre-op care only | $16.60 | $213.80 | $281.84 |
Where Indiana sits
The same service costs 33.1 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
$269
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.