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 $537.03 Median $537.03 Typical High $1,071.52 | Facility | None | $537.03 | $537.03 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $1,071.52 | Facility | None | $524.81 | $794.33 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $537.03 Typical High $1,023.29 | Professional | None | $524.81 | $537.03 | $1,023.29 |
CareSource Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $1,047.13 | Facility | None | $524.81 | $794.33 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,348.96 Typical High $1,479.11 | Facility | None | $602.56 | $1,348.96 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,479.11 | Professional | None | $537.03 | $537.03 | $1,479.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,698.24 | Facility | None | $1,047.13 | $1,071.52 | $1,698.24 |
United Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,659.59 | Professional | None | $524.81 | $524.81 | $1,659.59 |
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 $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Where Indiana sits
The same service costs 5.0 times more in Wyoming 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· 18th of 51
$575
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.