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 $234.42 Median $234.42 Typical High $457.09 | Facility | None | $234.42 | $234.42 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $467.74 | Facility | None | $229.09 | $346.74 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $436.52 | Professional | None | $229.09 | $234.42 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $457.09 | Facility | None | $229.09 | $346.74 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $645.65 Typical High $707.95 | Facility | None | $263.03 | $645.65 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $616.60 | Professional | None | $234.42 | $234.42 | $616.60 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $229.09 Median $457.09 Typical High $912.01 | Facility | None | $229.09 | $457.09 | $912.01 |
United Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $724.44 | Professional | None | $229.09 | $229.09 | $724.44 |
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 $34.67 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $34.67 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $23.44 |
Where Indiana sits
The same service costs 1.6 times more in Arizona than in Hawaii. 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· 11th of 51
$251
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.