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 $186.21 Median $1,949.84 Typical High $8,128.31 | Facility | None | $186.21 | $1,949.84 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $1,380.38 Typical High $2,187.76 | Professional | None | $177.83 | $1,380.38 | $2,187.76 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $134.90 Typical High $2,238.72 | Professional | 50 · Both sides | $134.90 | $134.90 | $2,238.72 |
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 $144.54 Median $1,122.02 Typical High $5,370.32 | Professional | None | $144.54 | $1,122.02 | $5,370.32 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $218.78 Median $1,659.59 Typical High $8,128.31 | Professional | 50 · Both sides | $218.78 | $1,659.59 | $8,128.31 |
CareSource Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $2,951.21 | Facility | None | $181.97 | $181.97 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $2,290.87 Typical High $4,466.84 | Facility | None | $933.25 | $2,290.87 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $346.74 Typical High $5,248.07 | Professional | None | $186.21 | $346.74 | $5,248.07 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $478.63 Median $3,388.44 Typical High $10,000.00 | Facility | None | $478.63 | $3,388.44 | $10,000.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $194.98 Median $416.87 Typical High $2,454.71 | Professional | None | $194.98 | $416.87 | $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 $190.55 Median $1,380.38 Typical High $4,570.88 | Professional | None | $190.55 | $1,380.38 | $4,570.88 |
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 $131.83 Median $1,071.52 Typical High $1,412.54 | Professional | 54 · Surgery only | $131.83 | $1,071.52 | $1,412.54 |
Where Indiana sits
The same service costs 10.5 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· 34th 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.