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 $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $6.46 Typical High $6.76 | Professional | None | $4.57 | $6.46 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $6.76 Typical High $6.92 | Facility | None | $5.37 | $6.76 | $6.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $6.92 | Professional | None | $2.88 | $2.88 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $75.86 Typical High $120.23 | Facility | None | $4.90 | $75.86 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $5.75 | Professional | None | $3.80 | $3.80 | $5.75 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1.38 Median $6.31 Typical High $7.59 | Professional | None | $1.38 | $6.31 | $7.59 |
United Setting Professional Modifier None Typical Low $2.45 Median $5.62 Typical High $8.51 | Professional | None | $2.45 | $5.62 | $8.51 |
3 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 $0.69 Median $0.95 Typical High $1.00 | Professional | 55 · Aftercare only | $0.69 | $0.95 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.46 Median $0.65 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.46 | $0.65 | $0.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.19 Median $2.45 Typical High $2.88 | Professional | UE · Used equipment | $2.19 | $2.45 | $2.88 |
Where Indiana sits
The same service costs 83.2 times more in Kansas than in Indiana. 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· 51st of 51
$2.88
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.