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 $0.89 Median $0.89 Typical High $0.89 | Facility | None | $0.89 | $0.89 | $0.89 |
Aetna Setting Professional Modifier None Typical Low $0.62 Median $0.89 Typical High $0.89 | Professional | None | $0.62 | $0.89 | $0.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.68 Median $0.85 Typical High $0.91 | Facility | None | $0.68 | $0.85 | $0.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $1.58 | Professional | None | $0.72 | $0.72 | $1.58 |
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 $0.54 Median $0.71 Typical High $0.79 | Professional | UE · Used equipment | $0.54 | $0.71 | $0.79 |
CareSource Setting Facility Modifier None Typical Low $0.85 Median $0.89 Typical High $1.58 | Facility | None | $0.85 | $0.89 | $1.58 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $0.95 Median $0.95 Typical High $5.89 | Professional | None | $0.95 | $0.95 | $5.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $0.87 Median $2.24 Typical High $954.99 | Facility | None | $0.87 | $2.24 | $954.99 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $0.17 Median $0.79 Typical High $0.98 | Professional | None | $0.17 | $0.79 | $0.98 |
United Setting Professional Modifier None Typical Low $0.34 Median $0.89 Typical High $1.41 | Professional | None | $0.34 | $0.89 | $1.41 |
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 3.6 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· 34th of 51
$0.85
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.