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 $181.97 Median $213.80 Typical High $213.80 | Facility | None | $181.97 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $269.15 | Professional | None | $181.97 | $181.97 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $169.82 | Professional | None | $123.03 | $144.54 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $354.81 | Facility | None | $165.96 | $263.03 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $263.03 | Professional | None | $131.83 | $181.97 | $263.03 |
CareSource Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $416.87 | Facility | None | $234.42 | $234.42 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $549.54 Typical High $549.54 | Facility | None | $223.87 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $489.78 | Professional | None | $199.53 | $199.53 | $489.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $169.82 Median $269.15 Typical High $2,089.30 | Facility | None | $169.82 | $269.15 | $2,089.30 |
United Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $295.12 | Professional | None | $173.78 | $194.98 | $295.12 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Where Indiana sits
The same service costs 562.3 times more in Montana than in Rhode Island. 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· 26th of 51
$195
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.