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 $323.59 Median $323.59 Typical High $630.96 | Facility | None | $323.59 | $323.59 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $323.59 | Professional | None | $316.23 | $323.59 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $309.03 Median $478.63 Typical High $645.65 | Facility | None | $309.03 | $478.63 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $602.56 | Professional | None | $309.03 | $316.23 | $602.56 |
CareSource Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $616.60 | Facility | None | $309.03 | $467.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $676.08 Typical High $870.96 | Facility | None | $363.08 | $676.08 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $812.83 | Professional | None | $316.23 | $316.23 | $812.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $302.00 Median $630.96 Typical High $954.99 | Facility | None | $302.00 | $630.96 | $954.99 |
United Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $977.24 | Professional | None | $309.03 | $309.03 | $977.24 |
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 $158.49 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $158.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $31.62 | $32.36 | $32.36 |
Where Indiana sits
The same service costs 1.6 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· 13th of 51
$347
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.