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 $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $1.41 Median $2.14 Typical High $2.14 | Professional | None | $1.41 | $2.14 | $2.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.55 Median $1.95 Typical High $2.09 | Facility | None | $1.55 | $1.95 | $2.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $2.45 | Professional | None | $1.58 | $1.58 | $2.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.16 Median $0.16 Typical High $0.21 | Professional | RR · Rental | $0.16 | $0.16 | $0.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.20 Median $1.20 Typical High $1.82 | Professional | UE · Used equipment | $1.20 | $1.20 | $1.82 |
CareSource Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $3.80 | Facility | None | $2.34 | $2.34 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.70 Typical High $2.09 | Professional | None | $1.17 | $1.70 | $2.09 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1.82 Median $912.01 Typical High $2,187.76 | Facility | None | $1.82 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $0.40 Median $1.82 Typical High $2.19 | Professional | None | $0.40 | $1.82 | $2.19 |
United Setting Professional Modifier None Typical Low $0.76 Median $2.19 Typical High $3.47 | Professional | None | $0.76 | $2.19 | $3.47 |
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 $0.21 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.21 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.21 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.14 | $0.21 | $0.21 |
Where Indiana sits
The same service costs 33.1 times more in Kansas 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· 47th of 51
$1.58
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.