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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,174.90 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $2,630.27 | Facility | None | $1,949.84 | $2,454.71 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,380.38 | $2,454.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $194.98 | Professional | RR · Rental | $138.04 | $138.04 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,047.13 Typical High $1,479.11 | Professional | UE · Used equipment | $1,047.13 | $1,047.13 | $1,479.11 |
CareSource Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,890.45 | Facility | None | $3,801.89 | $3,801.89 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,454.71 | Facility | None | $1,698.24 | $1,698.24 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $12,302.69 | Professional | None | $1,230.27 | $1,698.24 | $12,302.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $7,413.10 | Facility | None | $912.01 | $2,089.30 | $7,413.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,951.21 | Professional | None | $1,513.56 | $1,995.26 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,819.70 | Professional | None | $758.58 | $1,202.26 | $1,819.70 |
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 $588.84 Median $588.84 Typical High $912.01 | Professional | 52 · Reduced service | $588.84 | $588.84 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $363.08 | Professional | 53 · Discontinued | $239.88 | $239.88 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $275.42 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $181.97 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $181.97 |
Where Indiana sits
The same service costs 2.8 times more in Hawaii than in Arizona. 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· 30th of 51
$1,380
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.