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 $338.84 Median $338.84 Typical High $660.69 | Facility | None | $338.84 | $338.84 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $676.08 | Facility | None | $331.13 | $501.19 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $630.96 | Professional | None | $331.13 | $338.84 | $630.96 |
CareSource Setting Facility Modifier None Typical Low $331.13 Median $489.78 Typical High $660.69 | Facility | None | $331.13 | $489.78 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $851.14 Typical High $933.25 | Facility | None | $380.19 | $851.14 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $426.58 | Professional | None | $331.13 | $331.13 | $426.58 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $331.13 Median $912.01 Typical High $2,089.30 | Facility | None | $331.13 | $912.01 | $2,089.30 |
United Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $1,023.29 | Professional | None | $331.13 | $331.13 | $1,023.29 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $50.12 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Where Indiana sits
The same service costs 1.5 times more in Arizona than in Rhode Island. 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· 21st of 51
$339
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.