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 $389.05 Median $5,011.87 Typical High $7,244.36 | Facility | None | $389.05 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $389.05 Typical High $549.54 | Professional | None | $181.97 | $389.05 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $7,762.47 Typical High $17,378.01 | Facility | None | $1,230.27 | $7,762.47 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $512.86 Typical High $549.54 | Professional | None | $36.31 | $512.86 | $549.54 |
CareSource Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $3,467.37 | Facility | None | $181.97 | $181.97 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,630.27 Typical High $3,715.35 | Facility | None | $645.65 | $2,630.27 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $489.78 | Professional | None | $199.53 | $269.15 | $489.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $3,630.78 Typical High $5,011.87 | Facility | None | $954.99 | $3,630.78 | $5,011.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $575.44 Median $691.83 Typical High $1,023.29 | Professional | None | $575.44 | $691.83 | $1,023.29 |
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 $562.34 Median $758.58 Typical High $1,202.26 | Professional | None | $562.34 | $758.58 | $1,202.26 |
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 $91.20 Median $194.98 Typical High $223.87 | Professional | 52 · Reduced service | $91.20 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $77.62 Typical High $89.13 | Professional | 53 · Discontinued | $36.31 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $295.12 Typical High $331.13 | Professional | 54 · Surgery only | $138.04 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $58.88 Typical High $67.61 | Professional | 55 · Aftercare only | $27.54 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $38.90 Typical High $44.67 | Professional | 56 · Pre-op care only | $18.20 | $38.90 | $44.67 |
Where Indiana sits
The same service costs 53.7 times more in Alaska than in New York. 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· 14th of 51
$1,148
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.