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 $20.42 Median $24.55 Typical High $28.18 | Facility | None | $20.42 | $24.55 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $39.81 Typical High $64.57 | Facility | None | $26.92 | $39.81 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $32.36 Typical High $57.54 | Professional | None | $20.42 | $32.36 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $29.51 Median $44.67 Typical High $60.26 | Facility | None | $29.51 | $44.67 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $56.23 Typical High $56.23 | Facility | None | $28.18 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $102.33 | Professional | None | $20.42 | $20.42 | $102.33 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $102.33 | Professional | None | $32.36 | $32.36 | $102.33 |
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 $10.23 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $3.02 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $2.04 |
Where Indiana sits
The same service costs 363.1 times more in Alabama than in Delaware. 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· 22nd of 51
$32.36
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.