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 $2.69 Median $2.69 Typical High $5.25 | Facility | None | $2.69 | $2.69 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | None | $2.69 | $2.69 | $2.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.75 Median $4.07 Typical High $5.37 | Facility | None | $2.75 | $4.07 | $5.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.69 Typical High $4.17 | Professional | None | $2.57 | $2.69 | $4.17 |
CareSource Setting Facility Modifier None Typical Low $2.63 Median $3.89 Typical High $5.25 | Facility | None | $2.63 | $3.89 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $7.41 | Facility | None | $2.57 | $2.57 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $6.92 | Professional | None | $2.69 | $2.69 | $6.92 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $2.51 Median $5.25 Typical High $2,089.30 | Facility | None | $2.51 | $5.25 | $2,089.30 |
United Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $8.13 | Professional | None | $2.57 | $2.57 | $8.13 |
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 $1.35 Median $1.35 Typical High $1.35 | Professional | 52 · Reduced service | $1.35 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.54 Typical High $0.54 | Professional | 53 · Discontinued | $0.54 | $0.54 | $0.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.40 Median $0.41 Typical High $0.41 | Professional | 55 · Aftercare only | $0.40 | $0.41 | $0.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 56 · Pre-op care only | $0.27 | $0.27 | $0.27 |
Where Indiana sits
The same service costs 89.1 times more in Alabama than in Maryland. 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· 26th of 51
$2.69
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.