How much rates vary
Facilitymedian $1,585 · 10th to 90th $95 to $4,365Professionalmedian $71 · 10th to 90th $60 to $117
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $95.50 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $61.66 | $61.66 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $40.74 | Professional | TC · Technical part | $33.88 | $33.88 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $933.25 Typical High $1,258.93 | Facility | None | $70.79 | $933.25 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $93.33 | Professional | None (both parts) | $60.26 | $70.79 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $43.65 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $22.91 | $26.92 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $125.89 | Facility | None | $43.65 | $81.28 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $114.82 Typical High $158.49 | Facility | None | $97.72 | $114.82 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $93.33 | $107.15 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $70.79 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $56.23 | Professional | TC · Technical part | $33.11 | $37.15 | $56.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $257.04 Median $954.99 Typical High $2,290.87 | Facility | None | $257.04 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $102.33 | $123.03 | $158.49 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $85.11 | Professional | 26 · Professional part | $63.10 | $74.13 | $85.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $53.70 | Professional | TC · Technical part | $39.81 | $46.77 | $53.70 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,290.87 Typical High $4,570.88 | Facility | None | $933.25 | $2,290.87 | $4,570.88 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $69.18 | $89.13 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $53.70 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $58.88 | Professional | TC · Technical part | $29.51 | $35.48 | $58.88 |
2 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 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $17.38 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $11.75 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $11.75 |
Where Indiana sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 48th of 51
$70.79
MN $275AL $63.10
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.