How much rates vary
Facilitymedian $2,188 · 10th to 90th $457 to $5,248Professionalmedian $759 · 10th to 90th $117 to $1,380
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 $128.82 Median $1,380.38 Typical High $5,248.07 | Facility | None | $128.82 | $1,380.38 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $1,000.00 Typical High $1,318.26 | Professional | None | $117.49 | $1,000.00 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $3,235.94 Typical High $6,309.57 | Facility | None | $741.31 | $3,235.94 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $776.25 Typical High $1,288.25 | Professional | None | $123.03 | $776.25 | $1,288.25 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,202.26 Typical High $2,238.72 | Facility | None | $645.65 | $1,202.26 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $263.03 Typical High $1,621.81 | Professional | None | $123.03 | $263.03 | $1,621.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $316.23 Median $1,862.09 Typical High $3,388.44 | Facility | None | $316.23 | $1,862.09 | $3,388.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $138.04 Median $302.00 Typical High $1,995.26 | Professional | None | $138.04 | $302.00 | $1,995.26 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,348.96 Typical High $3,801.89 | Facility | None | $398.11 | $1,348.96 | $3,801.89 |
United Setting Professional Modifier None Typical Low $117.49 Median $776.25 Typical High $1,479.11 | Professional | None | $117.49 | $776.25 | $1,479.11 |
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 $57.54 Median $524.81 Typical High $630.96 | Professional | 52 · Reduced service | $57.54 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $208.93 Typical High $251.19 | Professional | 53 · Discontinued | $23.44 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $776.25 Typical High $933.25 | Professional | 54 · Surgery only | $87.10 | $776.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $154.88 Typical High $186.21 | Professional | 55 · Aftercare only | $17.38 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $104.71 Typical High $125.89 | Professional | 56 · Pre-op care only | $11.75 | $104.71 | $125.89 |
Where Indiana sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.