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 $32.36 Median $158.49 Typical High $5,011.87 | Facility | None | $32.36 | $158.49 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $123.03 Typical High $162.18 | Professional | None | $30.20 | $123.03 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $4,073.80 Typical High $7,413.10 | Facility | None | $1,513.56 | $4,073.80 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $102.33 Typical High $288.40 | Professional | None | $33.11 | $102.33 | $288.40 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.50 Median $19.50 Typical High $46.77 | Professional | 80 · Assistant surgeon | $5.50 | $19.50 | $46.77 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $4.68 Median $14.45 Typical High $40.74 | Professional | AS · PA/NP assist | $4.68 | $14.45 | $40.74 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $69.18 Typical High $234.42 | Professional | None | $32.36 | $69.18 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $74.13 Median $371.54 Typical High $2,187.76 | Facility | None | $74.13 | $371.54 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $37.15 Median $75.86 Typical High $223.87 | Professional | None | $37.15 | $75.86 | $223.87 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,290.87 Typical High $4,570.88 | Facility | None | $933.25 | $2,290.87 | $4,570.88 |
United Setting Professional Modifier None Typical Low $30.20 Median $125.89 Typical High $257.04 | Professional | None | $30.20 | $125.89 | $257.04 |
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 $22.91 Median $91.20 Typical High $112.20 | Professional | 54 · Surgery only | $22.91 | $91.20 | $112.20 |
Where Indiana sits
The same service costs 4.7 times more in Wisconsin 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.
Indiana· 36th of 51
$120
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.