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 $302.00 Median $489.78 Typical High $5,011.87 | Facility | None | $302.00 | $489.78 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $426.58 | Professional | None | $269.15 | $346.74 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $5,248.07 Typical High $9,549.93 | Facility | None | $630.96 | $5,248.07 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $549.54 Typical High $724.44 | Professional | None | $229.09 | $549.54 | $724.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $141.25 Median $346.74 Typical High $457.09 | Professional | 62 · Two surgeons | $141.25 | $346.74 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $4,570.88 | Facility | None | $295.12 | $295.12 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,019.95 Typical High $5,011.87 | Facility | None | $562.34 | $3,019.95 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $758.58 | Professional | None | $295.12 | $467.74 | $758.58 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $724.44 Median $3,981.07 Typical High $7,079.46 | Facility | None | $724.44 | $3,981.07 | $7,079.46 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $676.08 | Professional | None | $295.12 | $446.68 | $676.08 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,348.96 Typical High $3,801.89 | Facility | None | $398.11 | $1,348.96 | $3,801.89 |
United Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $676.08 | Professional | None | $281.84 | $436.52 | $676.08 |
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 $134.90 Median $173.78 Typical High $194.98 | Professional | 52 · Reduced service | $134.90 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $69.18 Typical High $79.43 | Professional | 53 · Discontinued | $53.70 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $257.04 Typical High $295.12 | Professional | 54 · Surgery only | $204.17 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $51.29 Typical High $58.88 | Professional | 55 · Aftercare only | $40.74 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $34.67 Typical High $39.81 | Professional | 56 · Pre-op care only | $26.92 | $34.67 | $39.81 |
Where Indiana sits
The same service costs 3.9 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· 26th of 51
$479
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.