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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $407.38 | Professional | None | $275.42 | $389.05 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $416.87 | Facility | None | $323.59 | $407.38 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $416.87 | Professional | None | $177.83 | $177.83 | $416.87 |
CareSource Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
CareSource Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None | $363.08 | $363.08 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $234.42 | Professional | None | $169.82 | $190.55 | $234.42 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $2,187.76 | Facility | None | $371.54 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $83.18 Median $380.19 Typical High $457.09 | Professional | None | $83.18 | $380.19 | $457.09 |
United Setting Professional Modifier None Typical Low $147.91 Median $338.84 Typical High $512.86 | Professional | None | $147.91 | $338.84 | $512.86 |
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 $41.69 Median $57.54 Typical High $60.26 | Professional | 55 · Aftercare only | $41.69 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $38.90 Typical High $40.74 | Professional | 56 · Pre-op care only | $27.54 | $38.90 | $40.74 |
Where Indiana sits
The same service costs 3.2 times more in Iowa than in New York. 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· 49th of 51
$178
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.