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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $19.95 Typical High $19.95 | Professional | None | $12.88 | $19.95 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $19.95 | Facility | None | $14.79 | $18.62 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $22.39 | Professional | None | $14.79 | $14.79 | $22.39 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.48 Median $1.48 Typical High $2.00 | Professional | RR · Rental | $1.48 | $1.48 | $2.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | UE · Used equipment | $11.22 | $11.22 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $19.50 | Professional | None | $16.98 | $19.50 | $19.50 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $17.38 Median $954.99 Typical High $2,187.76 | Facility | None | $17.38 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.89 Median $17.38 Typical High $21.38 | Professional | None | $3.89 | $17.38 | $21.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $19.95 Typical High $30.90 | Professional | None | $7.24 | $19.95 | $30.90 |
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 $1.91 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $1.91 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.26 | $2.00 | $2.00 |
Where Indiana sits
The same service costs 3.5 times more in Florida than in Alabama. 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· 48th of 51
$14.79
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.