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 $245.47 Median $245.47 Typical High $489.78 | Facility | None | $245.47 | $245.47 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $251.19 | Professional | None | $245.47 | $245.47 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $380.19 Typical High $630.96 | Facility | None | $257.04 | $380.19 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $281.84 | Professional | None | $213.80 | $223.87 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $741.31 Typical High $741.31 | Facility | None | $380.19 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $1,380.38 | Professional | None | $269.15 | $269.15 | $1,380.38 |
United Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | None | $257.04 | $257.04 | $346.74 |
4 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 $123.03 Median $123.03 Typical High $125.89 | Professional | 52 · Reduced service | $123.03 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $50.12 | Professional | 53 · Discontinued | $48.98 | $48.98 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $38.02 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $25.12 |
Where Indiana sits
The same service costs 1.7 times more in Alaska than in Indiana. 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· 51st of 51
$245
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.