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 $776.25 Median $891.25 Typical High $1,318.26 | Facility | None | $776.25 | $891.25 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,202.26 | Professional | None | $676.08 | $870.96 | $1,202.26 |
Ambetter Setting Professional Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,445.44 | Professional | None | $758.58 | $1,000.00 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $1,071.52 | Facility | None | $588.84 | $741.31 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,023.29 | Professional | None | $549.54 | $741.31 | $1,023.29 |
CareSource Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,318.26 | Professional | None | $912.01 | $1,047.13 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,290.87 Typical High $2,691.53 | Facility | None | $524.81 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,513.56 | Professional | None | $562.34 | $891.25 | $1,513.56 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,041.74 Typical High $2,884.03 | Facility | None | $912.01 | $2,041.74 | $2,884.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,698.24 | Professional | None | $794.33 | $1,148.15 | $1,698.24 |
United Setting Facility Modifier None Typical Low $302.00 Median $2,290.87 Typical High $10,232.93 | Facility | None | $302.00 | $2,290.87 | $10,232.93 |
United Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,412.54 | Professional | None | $575.44 | $851.14 | $1,412.54 |
4 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 $346.74 Median $416.87 Typical High $478.63 | Professional | 52 · Reduced service | $346.74 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $125.89 Typical High $144.54 | Professional | 55 · Aftercare only | $104.71 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $83.18 Typical High $95.50 | Professional | 56 · Pre-op care only | $69.18 | $83.18 | $95.50 |
Ambetter Setting Professional Modifier U3 · State-defined Typical Low $120.23 Median $245.47 Typical High $1,047.13 | Professional | U3 · State-defined | $120.23 | $245.47 | $1,047.13 |
Where Indiana sits
The same service costs 3.2 times more in Alaska than in Indiana. 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· 51st of 51
$776
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.