How much rates vary
Facilitymedian $178 · 10th to 90th $178 to $955Professionalmedian $195 · 10th to 90th $138 to $302
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $199.53 | Professional | None | $138.04 | $177.83 | $199.53 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $131.83 Typical High $151.36 | Professional | UE · Used equipment | $104.71 | $131.83 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $371.54 | Facility | None | $194.98 | $194.98 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $323.59 | Professional | None | $194.98 | $194.98 | $323.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $29.51 | Professional | RR · Rental | $19.50 | $19.50 | $29.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $144.54 Typical High $218.78 | Professional | UE · Used equipment | $144.54 | $144.54 | $218.78 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $489.78 | Facility | None | $37.15 | $38.90 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $190.55 | Facility | None | $177.83 | $177.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $257.04 | Professional | None | $151.36 | $177.83 | $257.04 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $17.78 Typical High $25.70 | Professional | RR · Rental | $15.14 | $17.78 | $25.70 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $190.55 | Professional | UE · Used equipment | $114.82 | $114.82 | $190.55 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,290.87 | Facility | None | $912.01 | $2,089.30 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $50.12 Median $204.17 Typical High $363.08 | Professional | None | $50.12 | $204.17 | $363.08 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier RR · Rental Typical Low $15.49 Median $21.38 Typical High $28.84 | Professional | RR · Rental | $15.49 | $21.38 | $28.84 |
United Setting Professional Modifier None Typical Low $74.13 Median $138.04 Typical High $229.09 | Professional | None | $74.13 | $138.04 | $229.09 |
United Setting Professional Modifier RR · Rental Typical Low $8.91 Median $16.60 Typical High $26.92 | Professional | RR · Rental | $8.91 | $16.60 | $26.92 |
United Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $102.33 Typical High $169.82 | Professional | UE · Used equipment | $54.95 | $102.33 | $169.82 |
4 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 52 · Reduced service Typical Low $85.11 Median $89.13 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $35.48 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $35.48 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $26.30 Typical High $30.20 | Professional | 55 · Aftercare only | $25.70 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $19.05 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $19.05 |
Where Indiana sits
The same service costs 22.4 times more in Kansas than in Illinois. 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· 14th of 51
$195
KS $447IL $19.95
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.