How much rates vary
Facilitymedian $3,890 · 10th to 90th $457 to $9,550Professionalmedian $316 · 10th to 90th $214 to $437
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 $263.03 Median $3,467.37 Typical High $5,011.87 | Facility | None | $263.03 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $323.59 | Professional | None | $239.88 | $263.03 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $5,370.32 Typical High $9,549.93 | Facility | None | $741.31 | $5,370.32 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $446.68 | Professional | None | $194.98 | $331.13 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $575.44 Typical High $2,691.53 | Facility | None | $275.42 | $575.44 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $436.52 | Professional | None | $223.87 | $302.00 | $436.52 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $2,187.76 | Facility | None | $489.78 | $616.60 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $389.05 | Professional | None | $239.88 | $288.40 | $389.05 |
United Setting Facility Modifier None Typical Low $302.00 Median $2,290.87 Typical High $10,232.93 | Facility | None | $302.00 | $2,290.87 | $10,232.93 |
United Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $467.74 | Professional | None | $223.87 | $331.13 | $467.74 |
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 $120.23 Median $131.83 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $52.48 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $194.98 Typical High $218.78 | Professional | 54 · Surgery only | $177.83 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $39.81 Typical High $43.65 | Professional | 55 · Aftercare only | $35.48 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $26.30 Typical High $29.51 | Professional | 56 · Pre-op care only | $23.99 | $26.30 | $29.51 |
Where Indiana sits
The same service costs 7.3 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $5,199MT $710
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.