How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $6.31 Typical High $6.31 | Professional | None | $3.89 | $6.31 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.31 Median $3.31 Typical High $6.46 | Facility | None | $3.31 | $3.31 | $6.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $7.41 | Professional | None | $3.31 | $3.31 | $7.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.33 Median $0.33 Typical High $0.43 | Professional | RR · Rental | $0.33 | $0.33 | $0.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.51 Median $2.51 Typical High $3.39 | Professional | UE · Used equipment | $2.51 | $2.51 | $3.39 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $11.22 | Facility | None | $10.72 | $10.72 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $35.48 | Professional | None | $3.80 | $3.80 | $35.48 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $22.39 Median $912.01 Typical High $2,187.76 | Facility | None | $22.39 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $10.96 | Professional | None | $4.47 | $5.50 | $10.96 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.63 Typical High $6.03 | Professional | None | $2.09 | $3.63 | $6.03 |
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 $0.59 Median $0.93 Typical High $0.93 | Professional | 55 · Aftercare only | $0.59 | $0.93 | $0.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.63 Typical High $0.63 | Professional | 56 · Pre-op care only | $0.39 | $0.63 | $0.63 |
Where Indiana sits
The same service costs 2.5 times more in Idaho than in Colorado. 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· 47th of 51
$3.63
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.