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 $165.96 Median $2,570.40 Typical High $11,220.18 | Facility | None | $165.96 | $2,570.40 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $1,380.38 Typical High $2,041.74 | Professional | None | $154.88 | $1,380.38 | $2,041.74 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,995.26 Typical High $1,995.26 | Professional | 50 · Both sides | $1,202.26 | $1,995.26 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $12,022.64 Typical High $28,840.32 | Facility | None | $1,621.81 | $12,022.64 | $28,840.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $1,096.48 Typical High $2,630.27 | Professional | None | $128.82 | $1,096.48 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $190.55 Median $1,659.59 Typical High $3,981.07 | Professional | 50 · Both sides | $190.55 | $1,659.59 | $3,981.07 |
CareSource Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $6,309.57 | Facility | None | $162.18 | $162.18 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $4,786.30 Typical High $6,760.83 | Facility | None | $933.25 | $4,786.30 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $3,235.94 | Professional | None | $162.18 | $316.23 | $3,235.94 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $426.58 Median $5,495.41 Typical High $10,000.00 | Facility | None | $426.58 | $5,495.41 | $10,000.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $2,454.71 | Professional | None | $173.78 | $363.08 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $4,365.16 Typical High $9,120.11 | Facility | None | $1,096.48 | $4,365.16 | $9,120.11 |
United Setting Professional Modifier None Typical Low $162.18 Median $1,380.38 Typical High $3,090.30 | Professional | None | $162.18 | $1,380.38 | $3,090.30 |
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 $114.82 Median $1,071.52 Typical High $1,380.38 | Professional | 54 · Surgery only | $114.82 | $1,071.52 | $1,380.38 |
Where Indiana sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 35th of 51
$1,660
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.