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 $0.93 Median $0.93 Typical High $0.93 | Facility | None | $0.93 | $0.93 | $0.93 |
Aetna Setting Professional Modifier None Typical Low $0.59 Median $0.93 Typical High $0.93 | Professional | None | $0.59 | $0.93 | $0.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.63 Median $0.79 Typical High $0.85 | Facility | None | $0.63 | $0.79 | $0.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $1.26 | Professional | None | $0.71 | $0.71 | $1.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.07 Median $0.07 Typical High $0.09 | Professional | RR · Rental | $0.07 | $0.07 | $0.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.52 Median $0.71 Typical High $0.79 | Professional | UE · Used equipment | $0.52 | $0.71 | $0.79 |
CareSource Setting Facility Modifier None Typical Low $0.56 Median $0.60 Typical High $1.07 | Facility | None | $0.56 | $0.60 | $1.07 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $0.91 Median $0.91 Typical High $1.82 | Professional | None | $0.91 | $0.91 | $1.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $0.85 Median $912.01 Typical High $2,187.76 | Facility | None | $0.85 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $0.16 Median $0.74 Typical High $0.89 | Professional | None | $0.16 | $0.74 | $0.89 |
United Setting Professional Modifier None Typical Low $0.33 Median $1.00 Typical High $1.58 | Professional | None | $0.33 | $1.00 | $1.58 |
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 $0.09 Median $0.14 Typical High $0.14 | Professional | 55 · Aftercare only | $0.09 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.06 | $0.09 | $0.09 |
Where Indiana sits
The same service costs 3.2 times more in Texas 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
$0.71
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.