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 $46.77 Median $3,467.37 Typical High $5,623.41 | Facility | None | $46.77 | $3,467.37 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $54.95 | Professional | None | $42.66 | $46.77 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $5,011.87 Typical High $9,549.93 | Facility | None | $616.60 | $5,011.87 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $83.18 | Professional | None | $40.74 | $61.66 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $3,467.37 | Facility | None | $48.98 | $48.98 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,238.72 Typical High $3,801.89 | Facility | None | $501.19 | $2,238.72 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $95.50 | Professional | None | $47.86 | $57.54 | $95.50 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $128.82 Median $3,548.13 Typical High $4,570.88 | Facility | None | $128.82 | $3,548.13 | $4,570.88 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $89.13 | Professional | None | $48.98 | $58.88 | $89.13 |
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 $43.65 Median $54.95 Typical High $83.18 | Professional | None | $43.65 | $54.95 | $83.18 |
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 $32.36 Median $34.67 Typical High $41.69 | Professional | 54 · Surgery only | $32.36 | $34.67 | $41.69 |
Where Indiana sits
The same service costs 20.9 times more in Oklahoma 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· 43rd of 51
$61.66
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.