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 $7.76 Median $7.76 Typical High $15.49 | Facility | None | $7.76 | $7.76 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.92 Median $12.30 Typical High $16.22 | Facility | None | $6.92 | $12.30 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $7.24 | Professional | None | $3.63 | $3.63 | $7.24 |
CareSource Setting Facility Modifier None Typical Low $2.00 Median $3.55 Typical High $3.98 | Facility | None | $2.00 | $3.55 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $20.89 Typical High $22.91 | Facility | None | $9.12 | $20.89 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $22.91 | Professional | None | $8.32 | $8.32 | $22.91 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $4.90 Median $10.96 Typical High $13.18 | Facility | None | $4.90 | $10.96 | $13.18 |
United Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $25.70 | Professional | None | $8.13 | $8.13 | $25.70 |
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 $3.89 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | 55 · Aftercare only | $1.17 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.78 | $0.78 | $0.78 |
Where Indiana sits
The same service costs 3.5 times more in Arizona than in Arkansas. 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· 43rd of 51
$7.59
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.