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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | None | $138.04 | $138.04 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $125.89 | Professional | None | $95.50 | $107.15 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $194.98 Typical High $263.03 | Facility | None | $123.03 | $194.98 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $186.21 | Professional | None | $93.33 | $131.83 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $104.71 | Facility | None | $57.54 | $57.54 | $104.71 |
CareSource Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $398.11 Typical High $398.11 | Facility | None | $165.96 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $354.81 | Professional | None | $144.54 | $144.54 | $354.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $2,187.76 | Facility | None | $128.82 | $208.93 | $2,187.76 |
United Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $223.87 | Professional | None | $131.83 | $141.25 | $223.87 |
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 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $13.80 |
Where Indiana sits
The same service costs 4.1 times more in Colorado than in Alabama. 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· 32nd of 51
$138
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.