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 $512.86 Median $5,011.87 Typical High $5,623.41 | Facility | None | $512.86 | $5,011.87 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | None | $512.86 | $512.86 | $645.65 |
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 $331.13 Median $398.11 Typical High $562.34 | Professional | None | $331.13 | $398.11 | $562.34 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $2,691.53 | Facility | None | $588.84 | $588.84 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,737.80 Typical High $3,019.95 | Facility | None | $489.78 | $1,737.80 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $724.44 Typical High $4,570.88 | Professional | None | $436.52 | $724.44 | $4,570.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,071.52 Median $2,818.38 Typical High $3,630.78 | Facility | None | $1,071.52 | $2,818.38 | $3,630.78 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,047.13 | Professional | None | $575.44 | $776.25 | $1,047.13 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,949.84 Typical High $4,677.35 | Facility | None | $512.86 | $1,949.84 | $4,677.35 |
United Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $1,905.46 | Professional | None | $436.52 | $616.60 | $1,905.46 |
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 $257.04 Median $257.04 Typical High $316.23 | Professional | 52 · Reduced service | $257.04 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $128.82 | Professional | 53 · Discontinued | $102.33 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $478.63 | Professional | 54 · Surgery only | $380.19 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $64.57 |
Where Indiana sits
The same service costs 4.5 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· 50th of 51
$525
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.