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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $416.87 | Professional | None | $354.81 | $371.54 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $758.58 Typical High $812.83 | Facility | None | $602.56 | $758.58 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $758.58 | Professional | None | $354.81 | $354.81 | $758.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $51.29 | Professional | RR · Rental | $35.48 | $35.48 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | UE · Used equipment | $263.03 | $263.03 | $363.08 |
CareSource Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Facility | None | $851.14 | $851.14 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $758.58 | Facility | None | $380.19 | $380.19 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $3,311.31 | Professional | None | $275.42 | $380.19 | $3,311.31 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,122.02 Typical High $2,290.87 | Facility | None | $912.01 | $1,122.02 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $912.01 | Professional | None | $467.74 | $616.60 | $912.01 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $467.74 | Facility | None | $389.05 | $389.05 | $467.74 |
United Setting Professional Modifier None Typical Low $194.98 Median $371.54 Typical High $549.54 | Professional | None | $194.98 | $371.54 | $549.54 |
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 $177.83 Median $181.97 Typical High $208.93 | Professional | 52 · Reduced service | $177.83 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $74.13 Typical High $83.18 | Professional | 53 · Discontinued | $70.79 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $54.95 Typical High $63.10 | Professional | 55 · Aftercare only | $53.70 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $37.15 Typical High $41.69 | Professional | 56 · Pre-op care only | $35.48 | $37.15 | $41.69 |
Where Indiana sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 31st of 51
$363
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.