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 $25.70 Median $25.70 Typical High $56.23 | Facility | None | $25.70 | $25.70 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $54.95 | Facility | None | $26.92 | $41.69 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $45.71 | Professional | None | $25.70 | $27.54 | $45.71 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $38.02 Typical High $51.29 | Facility | None | $25.70 | $38.02 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $70.79 Typical High $70.79 | Facility | None | $28.84 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $66.07 | Professional | None | $25.70 | $25.70 | $66.07 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $72.44 | Facility | None | $31.62 | $51.29 | $72.44 |
United Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $87.10 | Professional | None | $27.54 | $27.54 | $87.10 |
2 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 55 · Aftercare only Typical Low $3.80 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.80 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.57 Typical High $2.57 | Professional | 56 · Pre-op care only | $2.51 | $2.57 | $2.57 |
Where Indiana sits
The same service costs 1.9 times more in Alaska than in New Jersey. 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· 24th of 51
$27.54
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.