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 $151.36 Median $1,380.38 Typical High $5,623.41 | Facility | None | $151.36 | $1,380.38 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $660.69 Typical High $794.33 | Professional | None | $151.36 | $660.69 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $2,630.27 Typical High $8,912.51 | Facility | None | $645.65 | $2,630.27 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $489.78 Typical High $1,318.26 | Professional | None | $190.55 | $489.78 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $281.84 Median $645.65 Typical High $1,949.84 | Professional | 50 · Both sides | $281.84 | $645.65 | $1,949.84 |
CareSource Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $1,230.27 | Facility | None | $165.96 | $165.96 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $977.24 Typical High $1,659.59 | Facility | None | $501.19 | $977.24 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $363.08 Typical High $1,174.90 | Professional | None | $165.96 | $363.08 | $1,174.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $436.52 Median $1,513.56 Typical High $2,951.21 | Facility | None | $436.52 | $1,513.56 | $2,951.21 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $1,288.25 | Professional | None | $194.98 | $331.13 | $1,288.25 |
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 $169.82 Median $575.44 Typical High $1,202.26 | Professional | None | $169.82 | $575.44 | $1,202.26 |
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 $112.20 Median $501.19 Typical High $562.34 | Professional | 54 · Surgery only | $112.20 | $501.19 | $562.34 |
Where Indiana sits
The same service costs 4.0 times more in Wisconsin 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· 39th of 51
$708
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.