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 $43.65 Median $50.12 Typical High $63.10 | Facility | None | $43.65 | $50.12 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $97.72 | Professional | None | $43.65 | $58.88 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $72.44 Typical High $141.25 | Facility | None | $70.79 | $72.44 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $109.65 | Professional | None | $61.66 | $72.44 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $83.18 | Facility | None | $72.44 | $72.44 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $100.00 | Professional | None | $63.10 | $75.86 | $100.00 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $109.65 Median $245.47 Typical High $2,137.96 | Facility | None | $109.65 | $245.47 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $81.28 | Professional | None | $66.07 | $69.18 | $81.28 |
United Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $112.20 | Professional | None | $56.23 | $75.86 | $112.20 |
3 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 $29.51 Median $29.51 Typical High $35.48 | Professional | 52 · Reduced service | $29.51 | $29.51 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.91 Typical High $10.47 | Professional | 55 · Aftercare only | $8.71 | $8.91 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $7.08 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $7.08 |
Where Indiana sits
The same service costs 2.6 times more in Alaska than in Utah. 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· 31st of 51
$72.44
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.