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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $41.69 | Professional | None | $29.51 | $30.90 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $51.29 Typical High $64.57 | Facility | None | $40.74 | $51.29 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $79.43 | Professional | None | $51.29 | $56.23 | $79.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.62 Typical High $7.94 | Professional | RR · Rental | $5.37 | $5.62 | $7.94 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $41.69 Typical High $58.88 | Professional | UE · Used equipment | $40.74 | $41.69 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $89.13 | Facility | None | $85.11 | $85.11 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $52.48 Typical High $57.54 | Facility | None | $51.29 | $52.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $269.15 | Professional | None | $44.67 | $52.48 | $269.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $125.89 Median $912.01 Typical High $2,137.96 | Facility | None | $125.89 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $75.86 | Professional | None | $32.36 | $46.77 | $75.86 |
United Setting Professional Modifier None Typical Low $28.18 Median $46.77 Typical High $74.13 | Professional | None | $28.18 | $46.77 | $74.13 |
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 $14.79 Median $15.14 Typical High $20.42 | Professional | 52 · Reduced service | $14.79 | $15.14 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.17 Typical High $8.32 | Professional | 53 · Discontinued | $5.89 | $6.17 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.57 Typical High $6.17 | Professional | 55 · Aftercare only | $4.37 | $4.57 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.09 Typical High $4.17 | Professional | 56 · Pre-op care only | $2.95 | $3.09 | $4.17 |
Where Indiana sits
The same service costs 2.6 times more in Hawaii than in Utah. 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
$53.70
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.