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 $199.53 Median $398.11 Typical High $7,244.36 | Facility | None | $199.53 | $398.11 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $245.47 | Professional | None | $138.04 | $181.97 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
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 $120.23 Median $173.78 Typical High $239.88 | Professional | None | $120.23 | $173.78 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $338.84 | Facility | None | $154.88 | $154.88 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $724.44 | Facility | None | $165.96 | $316.23 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $295.12 | Professional | None | $125.89 | $190.55 | $295.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $302.00 Median $416.87 Typical High $1,000.00 | Facility | None | $302.00 | $416.87 | $1,000.00 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $346.74 | Professional | None | $158.49 | $251.19 | $346.74 |
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 $125.89 Median $199.53 Typical High $346.74 | Professional | None | $125.89 | $199.53 | $346.74 |
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 $109.65 Median $141.25 Typical High $169.82 | Professional | 54 · Surgery only | $109.65 | $141.25 | $169.82 |
Where Indiana sits
The same service costs 4.2 times more in Alaska 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
$200
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.