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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $85.11 | Facility | None | $0.02 | $0.02 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $91.20 | Professional | None | $40.74 | $67.61 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $16.22 Typical High $29.51 | Facility | None | $14.79 | $16.22 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $204.17 Typical High $204.17 | Facility | None | $83.18 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $204.17 | Professional | None | $74.13 | $74.13 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $70.79 Median $912.01 Typical High $2,187.76 | Facility | None | $70.79 | $912.01 | $2,187.76 |
United Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $112.20 | Professional | None | $66.07 | $74.13 | $112.20 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $6.76 |
Where Indiana sits
The same service costs 6.5 times more in Arizona than in Hawaii. 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· 44th of 51
$67.61
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.