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 $2,290.87 Median $3,019.95 Typical High $4,073.80 | Facility | None | $2,290.87 | $3,019.95 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $2,290.87 | Professional | None | $2,137.96 | $2,187.76 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,235.94 Typical High $4,365.16 | Facility | None | $2,137.96 | $3,235.94 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,073.80 | Professional | None | $2,137.96 | $2,137.96 | $4,073.80 |
CareSource Setting Facility Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $4,265.80 | Facility | None | $2,137.96 | $3,162.28 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $5,370.32 Typical High $5,888.44 | Facility | None | $2,454.71 | $5,370.32 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $5,754.40 | Professional | None | $2,137.96 | $2,137.96 | $5,754.40 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,202.26 Median $4,265.80 Typical High $5,888.44 | Facility | None | $1,202.26 | $4,265.80 | $5,888.44 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $6,760.83 | Professional | None | $2,137.96 | $2,137.96 | $6,760.83 |
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 $1,071.52 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,071.52 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $213.80 | $218.78 | $218.78 |
Where Indiana sits
The same service costs 2.0 times more in Arizona than in Alabama. 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· 11th of 51
$2,344
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.