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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $14.45 Typical High $14.45 | Professional | None | $9.33 | $14.45 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $13.18 Typical High $14.13 | Facility | None | $10.47 | $13.18 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $16.22 | Professional | None | $10.47 | $10.47 | $16.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.07 Typical High $1.41 | Professional | RR · Rental | $1.07 | $1.07 | $1.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.94 Median $7.94 Typical High $10.47 | Professional | UE · Used equipment | $7.94 | $7.94 | $10.47 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.45 | Professional | None | $14.13 | $14.13 | $14.45 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $12.30 Median $954.99 Typical High $2,187.76 | Facility | None | $12.30 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2.69 Median $12.30 Typical High $15.14 | Professional | None | $2.69 | $12.30 | $15.14 |
United Setting Professional Modifier None Typical Low $5.13 Median $14.45 Typical High $23.44 | Professional | None | $5.13 | $14.45 | $23.44 |
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 $1.41 Median $2.14 Typical High $2.14 | Professional | 55 · Aftercare only | $1.41 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $0.93 | $1.45 | $1.45 |
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
$10.47
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.