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 $36.31 Median $3,801.89 Typical High $5,623.41 | Facility | None | $36.31 | $3,801.89 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $69.18 Typical High $74.13 | Professional | None | $36.31 | $69.18 | $74.13 |
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 $41.69 Median $69.18 Typical High $109.65 | Professional | None | $41.69 | $69.18 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $89.13 | Facility | None | $39.81 | $39.81 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $346.74 | Facility | None | $52.48 | $74.13 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $117.49 | Professional | None | $39.81 | $67.61 | $117.49 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $83.18 Median $117.49 Typical High $954.99 | Facility | None | $83.18 | $117.49 | $954.99 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $131.83 | Professional | None | $44.67 | $79.43 | $131.83 |
United Setting Facility Modifier None Typical Low $109.65 Median $812.83 Typical High $4,168.69 | Facility | None | $109.65 | $812.83 | $4,168.69 |
United Setting Professional Modifier None Typical Low $38.02 Median $64.57 Typical High $112.20 | Professional | None | $38.02 | $64.57 | $112.20 |
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 $27.54 Median $51.29 Typical High $54.95 | Professional | 54 · Surgery only | $27.54 | $51.29 | $54.95 |
Where Indiana sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 34th of 51
$72.44
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.