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 $489.78 Median $5,011.87 Typical High $5,623.41 | Facility | None | $489.78 | $5,011.87 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $630.96 | Professional | None | $478.63 | $489.78 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $11,220.18 Typical High $23,442.29 | Facility | None | $1,380.38 | $11,220.18 | $23,442.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $758.58 Typical High $776.25 | Professional | None | $389.05 | $758.58 | $776.25 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $245.47 Median $478.63 Typical High $489.78 | Professional | 62 · Two surgeons | $245.47 | $478.63 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $6,025.60 | Facility | None | $501.19 | $501.19 | $6,025.60 |
CareSource Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,630.78 Typical High $6,309.57 | Facility | None | $602.56 | $3,630.78 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $933.25 | Professional | None | $457.09 | $549.54 | $933.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,174.90 Median $5,128.61 Typical High $8,511.38 | Facility | None | $1,174.90 | $5,128.61 | $8,511.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $851.14 | Professional | None | $478.63 | $676.08 | $851.14 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,943.28 | Facility | None | $1,000.00 | $3,311.31 | $7,943.28 |
United Setting Professional Modifier None Typical Low $407.38 Median $501.19 Typical High $794.33 | Professional | None | $407.38 | $501.19 | $794.33 |
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 $363.08 Median $363.08 Typical High $467.74 | Professional | 54 · Surgery only | $363.08 | $363.08 | $467.74 |
Where Indiana sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 28th of 51
$603
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.