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 $5,011.87 Median $5,011.87 Typical High $10,000.00 | Facility | None | $5,011.87 | $5,011.87 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,943.28 Typical High $10,471.29 | Facility | None | $4,897.79 | $7,943.28 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $6,309.57 | Professional | None | $3,467.37 | $3,467.37 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $6,025.60 Median $14,791.08 Typical High $14,791.08 | Facility | None | $6,025.60 | $14,791.08 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $14,791.08 | Professional | None | $5,370.32 | $5,370.32 | $14,791.08 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $8,511.38 | Facility | None | $912.01 | $2,290.87 | $8,511.38 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $16,595.87 | Professional | None | $5,248.07 | $5,248.07 | $16,595.87 |
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 55 · Aftercare only | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 56 · Pre-op care only | $501.19 | $501.19 | $501.19 |
Where Indiana sits
The same service costs 2.5 times more in Alaska than in Alabama. 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· 37th of 51
$5,248
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.