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 $36.31 Median $38.02 Typical High $72.44 | Facility | None | $36.31 | $38.02 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.45 Median $56.23 Typical High $75.86 | Facility | None | $2.45 | $56.23 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $3.24 | Professional | None | $1.29 | $1.29 | $3.24 |
CareSource Setting Facility Modifier None Typical Low $2.29 Median $4.07 Typical High $4.57 | Facility | None | $2.29 | $4.07 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $95.50 Typical High $104.71 | Facility | None | $41.69 | $95.50 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $104.71 | Professional | None | $38.02 | $38.02 | $104.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $22.39 Median $60.26 Typical High $102.33 | Facility | None | $22.39 | $60.26 | $102.33 |
United Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $117.49 | Professional | None | $37.15 | $37.15 | $117.49 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $3.63 |
Where Indiana sits
The same service costs 20.4 times more in Arizona 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· 44th of 51
$35.48
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.