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 $524.81 Median $524.81 Typical High $1,023.29 | Facility | None | $524.81 | $524.81 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $524.81 | Professional | None | $512.86 | $524.81 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $1,023.29 | Facility | None | $512.86 | $776.25 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $977.24 | Professional | None | $512.86 | $512.86 | $977.24 |
CareSource Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $1,000.00 | Facility | None | $501.19 | $741.31 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,288.25 Typical High $1,412.54 | Facility | None | $588.84 | $1,288.25 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $1,348.96 | Professional | None | $512.86 | $512.86 | $1,348.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $489.78 Median $1,000.00 Typical High $1,621.81 | Facility | None | $489.78 | $1,000.00 | $1,621.81 |
United Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $1,621.81 | Professional | None | $512.86 | $512.86 | $1,621.81 |
5 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 $257.04 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $257.04 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $102.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 54 · Surgery only | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $51.29 | $52.48 | $52.48 |
Where Indiana sits
The same service costs 1.6 times more in Arizona than in Wyoming. 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· 19th of 51
$537
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.