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 $30.20 Typical High $40.74 | Facility | None | $22.91 | $30.20 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.88 Typical High $104.71 | Professional | None | $21.38 | $21.88 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $32.36 Typical High $43.65 | Facility | None | $20.89 | $32.36 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $21.38 Typical High $40.74 | Professional | None | $20.89 | $21.38 | $40.74 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $38.02 | Facility | None | $21.38 | $21.38 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $57.54 Typical High $58.88 | Facility | None | $24.55 | $57.54 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $61.66 | Professional | None | $21.38 | $21.38 | $61.66 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $64.57 | Facility | None | $30.90 | $42.66 | $64.57 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $66.07 | Professional | None | $20.89 | $20.89 | $66.07 |
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 $10.72 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.72 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.31 Typical High $3.31 | Professional | 55 · Aftercare only | $3.24 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $2.14 | $2.19 | $2.19 |
Where Indiana sits
The same service costs 1.9 times more in Alaska than in Maryland. 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· 15th of 51
$23.99
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.