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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $32.36 | Professional | None | $21.38 | $32.36 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $33.11 | Facility | None | $17.38 | $17.38 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $38.90 | Professional | None | $17.38 | $17.38 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $1.74 Typical High $2.57 | Professional | RR · Rental | $1.74 | $1.74 | $2.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $12.88 Typical High $19.05 | Professional | UE · Used equipment | $12.88 | $12.88 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $57.54 | Facility | None | $54.95 | $54.95 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $28.84 | Facility | None | $26.92 | $26.92 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $204.17 | Professional | None | $22.91 | $22.91 | $204.17 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $114.82 Median $912.01 Typical High $2,187.76 | Facility | None | $114.82 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $47.86 | Professional | None | $22.91 | $30.20 | $47.86 |
United Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $31.62 | Professional | None | $12.59 | $18.62 | $31.62 |
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 $3.16 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $3.16 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $2.14 | $3.24 | $3.24 |
Where Indiana sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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· 50th of 51
$20.89
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.