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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $69.18 | Professional | None | $54.95 | $56.23 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $15,135.61 Typical High $21,379.62 | Facility | None | $4,786.30 | $15,135.61 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $77.62 Typical High $102.33 | Professional | None | $42.66 | $77.62 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $93.33 Typical High $125.89 | Facility | None | $58.88 | $93.33 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $104.71 | Professional | None | $61.66 | $77.62 | $104.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $138.04 Median $912.01 Typical High $2,137.96 | Facility | None | $138.04 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $97.72 | Professional | None | $52.48 | $67.61 | $97.72 |
United Setting Facility Modifier None Typical Low $109.65 Median $812.83 Typical High $4,168.69 | Facility | None | $109.65 | $812.83 | $4,168.69 |
United Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $120.23 | Professional | None | $57.54 | $74.13 | $120.23 |
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 $41.69 Median $41.69 Typical High $51.29 | Professional | 54 · Surgery only | $41.69 | $41.69 | $51.29 |
Where Indiana sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 35th 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.