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 $54.95 Median $54.95 Typical High $104.71 | Facility | None | $54.95 | $54.95 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | None | $53.70 | $54.95 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $81.28 Typical High $107.15 | Facility | None | $54.95 | $81.28 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $83.18 | Professional | None | $51.29 | $53.70 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $97.72 | Facility | None | $48.98 | $74.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $147.91 Typical High $147.91 | Facility | None | $60.26 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $107.15 | Professional | None | $53.70 | $53.70 | $107.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $41.69 Median $85.11 Typical High $141.25 | Facility | None | $41.69 | $85.11 | $141.25 |
United Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $162.18 | Professional | None | $51.29 | $51.29 | $162.18 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.72 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.37 | $5.50 | $5.50 |
Where Indiana sits
The same service costs 3.0 times more in Arizona than in Oklahoma. 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
$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.