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 $22.91 Median $22.91 Typical High $46.77 | Facility | None | $22.91 | $22.91 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.91 Typical High $22.91 | Professional | None | $22.39 | $22.91 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $34.67 Typical High $45.71 | Facility | None | $23.99 | $34.67 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $22.91 Typical High $43.65 | Professional | None | $22.39 | $22.91 | $43.65 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $35.48 Typical High $46.77 | Facility | None | $23.44 | $35.48 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $61.66 Typical High $61.66 | Facility | None | $25.70 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $75.86 | Professional | None | $22.39 | $22.39 | $75.86 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $36.31 Median $48.98 Typical High $70.79 | Facility | None | $36.31 | $48.98 | $70.79 |
United Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $72.44 | Professional | None | $22.91 | $22.91 | $72.44 |
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 $11.22 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $11.22 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.47 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 55 · Aftercare only | $3.39 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.29 Typical High $2.29 | Professional | 56 · Pre-op care only | $2.24 | $2.29 | $2.29 |
Where Indiana sits
The same service costs 1.9 times more in Alaska than in Mississippi. 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· 18th 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.