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 $575.44 Median $575.44 Typical High $1,318.26 | Facility | None | $575.44 | $575.44 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $575.44 Typical High $912.01 | Professional | None | $562.34 | $575.44 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $954.99 Typical High $1,318.26 | Facility | None | $660.69 | $954.99 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,122.02 | Professional | None | $562.34 | $660.69 | $1,122.02 |
CareSource Setting Facility Modifier None Typical Low $630.96 Median $954.99 Typical High $1,258.93 | Facility | None | $630.96 | $954.99 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,412.54 Typical High $1,548.82 | Facility | None | $645.65 | $1,412.54 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,862.09 | Professional | None | $562.34 | $562.34 | $1,862.09 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $2,137.96 | Facility | None | $954.99 | $1,258.93 | $2,137.96 |
United Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $2,041.74 | Professional | None | $660.69 | $660.69 | $2,041.74 |
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 $281.84 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $281.84 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $112.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $56.23 | $57.54 | $57.54 |
Where Indiana sits
The same service costs 2.7 times more in Wyoming than in Georgia. 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· 17th of 51
$676
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.