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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $33.88 Typical High $33.88 | Professional | None | $21.88 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $38.02 | Facility | None | $19.95 | $19.95 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $39.81 | Professional | None | $19.95 | $19.95 | $39.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.95 Median $1.95 Typical High $2.82 | Professional | RR · Rental | $1.95 | $1.95 | $2.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $14.79 Typical High $20.89 | Professional | UE · Used equipment | $14.79 | $14.79 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $58.88 | Facility | None | $57.54 | $57.54 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $28.18 | Facility | None | $26.30 | $26.30 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $194.98 | Professional | None | $16.22 | $22.39 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $120.23 Median $912.01 Typical High $2,187.76 | Facility | None | $120.23 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $23.99 Median $31.62 Typical High $48.98 | Professional | None | $23.99 | $31.62 | $48.98 |
United Setting Professional Modifier None Typical Low $11.22 Median $19.50 Typical High $33.11 | Professional | None | $11.22 | $19.50 | $33.11 |
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 $3.31 Median $5.01 Typical High $5.01 | Professional | 55 · Aftercare only | $3.31 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $3.39 Typical High $3.39 | Professional | 56 · Pre-op care only | $2.19 | $3.39 | $3.39 |
Where Indiana sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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· 43rd of 51
$21.38
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.