How much rates vary
Facilitymedian $7,079 · 10th to 90th $1,122 to $16,982Professionalmedian $776 · 10th to 90th $427 to $1,479
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 $1,380.38 Median $3,467.37 Typical High $17,782.79 | Facility | None | $1,380.38 | $3,467.37 | $17,782.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,318.26 Typical High $1,513.56 | Professional | None (both parts) | $1,202.26 | $1,318.26 | $1,513.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $346.74 Typical High $380.19 | Professional | 26 · Professional part | $316.23 | $346.74 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $7,943.28 Typical High $17,378.01 | Facility | None | $1,288.25 | $7,943.28 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $776.25 Typical High $1,202.26 | Professional | None (both parts) | $660.69 | $776.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $316.23 Typical High $478.63 | Professional | 26 · Professional part | $269.15 | $316.23 | $478.63 |
CareSource Setting Facility Modifier None Typical Low $323.59 Median $891.25 Typical High $1,202.26 | Facility | None | $323.59 | $891.25 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Facility | None | $16,595.87 | $16,595.87 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,513.56 Typical High $1,659.59 | Professional | None (both parts) | $501.19 | $1,513.56 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $416.87 Typical High $537.03 | Professional | 26 · Professional part | $354.81 | $416.87 | $537.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $4,677.35 | Facility | None | $912.01 | $954.99 | $4,677.35 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $467.74 Typical High $645.65 | Professional | 26 · Professional part | $380.19 | $467.74 | $645.65 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,230.27 | $4,570.88 | $12,022.64 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $1,584.89 | Professional | None (both parts) | $316.23 | $446.68 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $436.52 Typical High $691.83 | Professional | 26 · Professional part | $316.23 | $436.52 | $691.83 |
7 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 $602.56 Median $660.69 Typical High $741.31 | Professional | 52 · Reduced service | $602.56 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $263.03 Typical High $295.12 | Professional | 53 · Discontinued | $239.88 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,000.00 Typical High $1,096.48 | Professional | 54 · Surgery only | $912.01 | $1,000.00 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $199.53 Typical High $223.87 | Professional | 55 · Aftercare only | $181.97 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $131.83 Typical High $147.91 | Professional | 56 · Pre-op care only | $120.23 | $131.83 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $977.24 Typical High $1,122.02 | Professional | TC · Technical part | $891.25 | $977.24 | $1,122.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,071.52 Typical High $1,202.26 | Professional | TC · Technical part | $954.99 | $1,071.52 | $1,202.26 |
Where Indiana sits
The same service costs 14.5 times more in California than in Maine. 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· 40th of 51
$1,202
CA $8,128ME $562
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.