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 $44.67 Median $44.67 Typical High $109.65 | Facility | None | $44.67 | $44.67 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | None | $43.65 | $44.67 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $81.28 Typical High $109.65 | Facility | None | $45.71 | $81.28 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $97.72 | Professional | None | $43.65 | $54.95 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $74.13 Typical High $100.00 | Facility | None | $50.12 | $74.13 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $109.65 Typical High $120.23 | Facility | None | $48.98 | $109.65 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $120.23 | Professional | None | $43.65 | $43.65 | $120.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $177.83 | Facility | None | $81.28 | $109.65 | $177.83 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $169.82 | Professional | None | $54.95 | $54.95 | $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 $21.88 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $21.88 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.71 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.37 | $4.47 | $4.47 |
Where Indiana sits
The same service costs 2.0 times more in Alaska than in Wyoming. 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
$54.95
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.