How much rates vary
Facilitymedian $21,878 · 10th to 90th $2,138 to $58,884Professionalmedian $1,148 · 10th to 90th $912 to $1,778
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 $1,148.15 Median $5,011.87 Typical High $9,772.37 | Facility | None | $1,148.15 | $5,011.87 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,148.15 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $38,904.51 Typical High $77,624.71 | Facility | None | $2,570.40 | $38,904.51 | $77,624.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,659.59 | Professional | None | $870.96 | $1,122.02 | $1,659.59 |
CareSource Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,318.26 Typical High $27,542.29 | Facility | None | $512.86 | $1,318.26 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,148.15 | $1,513.56 | $2,089.30 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,630.27 Typical High $33,113.11 | Facility | None | $912.01 | $2,630.27 | $33,113.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,071.52 | $1,380.38 | $1,819.70 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $12,302.69 Typical High $43,651.58 | Facility | None | $2,238.72 | $12,302.69 | $43,651.58 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,071.52 | $1,479.11 | $2,398.83 |
5 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 $537.03 Median $562.34 Typical High $616.60 | Professional | 52 · Reduced service | $537.03 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $229.09 Typical High $251.19 | Professional | 53 · Discontinued | $213.80 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $812.83 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $169.82 Typical High $186.21 | Professional | 55 · Aftercare only | $162.18 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $114.82 Typical High $123.03 | Professional | 56 · Pre-op care only | $107.15 | $114.82 | $123.03 |
Where Indiana sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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.
Physician feeFacility fee
IN $23,026KY $2,834
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.