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 $60.26 Median $144.54 Typical High $5,623.41 | Facility | None | $60.26 | $144.54 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $107.15 | Professional | None | $56.23 | $83.18 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $131.83 Typical High $2,818.38 | Facility | None | $64.57 | $131.83 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $97.72 | Professional | None | $48.98 | $75.86 | $97.72 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $72.44 Median $112.20 Typical High $147.91 | Professional | 50 · Both sides | $72.44 | $112.20 | $147.91 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $616.60 Typical High $912.01 | Facility | None | $61.66 | $616.60 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $676.08 Typical High $2,691.53 | Facility | None | $346.74 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $190.55 | Professional | None | $63.10 | $97.72 | $190.55 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $147.91 Median $295.12 Typical High $2,187.76 | Facility | None | $147.91 | $295.12 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $64.57 Median $109.65 Typical High $165.96 | Professional | None | $64.57 | $109.65 | $165.96 |
United Setting Facility Modifier None Typical Low $109.65 Median $851.14 Typical High $4,168.69 | Facility | None | $109.65 | $851.14 | $4,168.69 |
United Setting Professional Modifier None Typical Low $53.70 Median $85.11 Typical High $154.88 | Professional | None | $53.70 | $85.11 | $154.88 |
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 $42.66 Median $58.88 Typical High $70.79 | Professional | 54 · Surgery only | $42.66 | $58.88 | $70.79 |
Where Indiana sits
The same service costs 3.6 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· 49th of 51
$77.62
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.