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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | None | $28.84 | $28.84 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $42.66 Typical High $57.54 | Facility | None | $28.84 | $42.66 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $56.23 | Professional | None | $24.55 | $28.84 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $79.43 | Facility | None | $43.65 | $43.65 | $79.43 |
CareSource Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $87.10 Typical High $87.10 | Facility | None | $36.31 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $87.10 | Professional | None | $31.62 | $31.62 | $87.10 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $30.90 Median $85.11 Typical High $2,187.76 | Facility | None | $30.90 | $85.11 | $2,187.76 |
United Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $54.95 | Professional | None | $32.36 | $33.88 | $54.95 |
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 $14.45 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $2.88 |
Where Indiana sits
The same service costs 1.6 times more in Arizona than in Georgia. 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· 30th of 51
$32.36
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.