How much rates vary
Facilitymedian $1,023 · 10th to 90th $126 to $17,378Professionalmedian $851 · 10th to 90th $537 to $1,318
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 $537.03 Median $3,467.37 Typical High $5,011.87 | Facility | None | $537.03 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $537.03 Typical High $645.65 | Professional | None (both parts) | $501.19 | $537.03 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $407.38 Typical High $489.78 | Professional | 26 · Professional part | $380.19 | $407.38 | $489.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $154.88 | Professional | TC · Technical part | $120.23 | $131.83 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $17,378.01 Typical High $107,151.93 | Facility | None | $870.96 | $17,378.01 | $107,151.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $870.96 Typical High $1,288.25 | Professional | None (both parts) | $691.83 | $870.96 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $562.34 Typical High $758.58 | Professional | 26 · Professional part | $363.08 | $562.34 | $758.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $245.47 | $302.00 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $120.23 Median $398.11 Typical High $512.86 | Facility | None | $120.23 | $398.11 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $794.33 Typical High $1,230.27 | Professional | None (both parts) | $537.03 | $794.33 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $512.86 Typical High $707.95 | Professional | 26 · Professional part | $407.38 | $512.86 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $128.82 | $177.83 | $338.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $691.83 Median $724.44 Typical High $851.14 | Professional | None (both parts) | $691.83 | $724.44 | $851.14 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $512.86 Typical High $707.95 | Professional | 26 · Professional part | $407.38 | $512.86 | $707.95 |
United Setting Facility Modifier None Typical Low $109.65 Median $812.83 Typical High $7,585.78 | Facility | None | $109.65 | $812.83 | $7,585.78 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,122.02 Typical High $2,398.83 | Professional | None (both parts) | $630.96 | $1,122.02 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $512.86 Typical High $776.25 | Professional | 26 · Professional part | $371.54 | $512.86 | $776.25 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $467.74 Typical High $1,737.80 | Professional | TC · Technical part | $245.47 | $467.74 | $1,737.80 |
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 $251.19 Median $269.15 Typical High $323.59 | Professional | 52 · Reduced service | $251.19 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $107.15 Typical High $128.82 | Professional | 53 · Discontinued | $100.00 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $398.11 Typical High $478.63 | Professional | 54 · Surgery only | $371.54 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $79.43 Typical High $95.50 | Professional | 55 · Aftercare only | $74.13 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $53.70 Typical High $64.57 | Professional | 56 · Pre-op care only | $50.12 | $53.70 | $64.57 |
Where Indiana sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 16th of 51
$871
NE $2,818MD $501
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.