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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $1,000.00 | Professional | None | $758.58 | $812.83 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $7,079.46 Typical High $11,481.54 | Facility | None | $1,380.38 | $7,079.46 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,445.44 | Professional | None | $758.58 | $1,071.52 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $169.82 Typical High $245.47 | Professional | 80 · Assistant surgeon | $120.23 | $169.82 | $245.47 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $151.36 Typical High $204.17 | Professional | AS · PA/NP assist | $104.71 | $151.36 | $204.17 |
CareSource Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $2,691.53 | Facility | None | $512.86 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,819.70 | Professional | None | $912.01 | $1,148.15 | $1,819.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,398.83 | Facility | None | $912.01 | $2,089.30 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,584.89 | Professional | None | $912.01 | $1,096.48 | $1,584.89 |
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 $870.96 Median $1,122.02 Typical High $1,584.89 | Professional | None | $870.96 | $1,122.02 | $1,584.89 |
2 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 $380.19 Median $407.38 Typical High $501.19 | Professional | 52 · Reduced service | $380.19 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $162.18 Typical High $199.53 | Professional | 53 · Discontinued | $151.36 | $162.18 | $199.53 |
Where Indiana sits
The same service costs 3.4 times more in Alaska than in Utah. 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
$1,072
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.