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 $23.44 Median $32.36 Typical High $43.65 | Facility | None | $23.44 | $32.36 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $32.36 | Professional | None | $22.91 | $23.44 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $34.67 Typical High $45.71 | Facility | None | $23.44 | $34.67 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $22.91 Typical High $42.66 | Professional | None | $22.39 | $22.91 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $38.02 | Facility | None | $21.38 | $21.38 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $63.10 Typical High $63.10 | Facility | None | $26.30 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $53.70 | Professional | None | $22.91 | $22.91 | $53.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $16.98 Median $43.65 Typical High $66.07 | Facility | None | $16.98 | $43.65 | $66.07 |
United Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $69.18 | Professional | None | $22.39 | $22.39 | $69.18 |
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 $11.48 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.48 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.57 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 55 · Aftercare only | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.29 | $2.34 | $2.34 |
Where Indiana sits
The same service costs 2.0 times more in Minnesota than in Hawaii. 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· 16th of 51
$24.55
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.