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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,318.26 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $2,884.03 | Facility | None | $2,137.96 | $2,691.53 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,479.11 | $1,659.59 | $2,691.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $165.96 Typical High $234.42 | Professional | RR · Rental | $147.91 | $165.96 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,230.27 Typical High $1,778.28 | Professional | UE · Used equipment | $1,122.02 | $1,230.27 | $1,778.28 |
CareSource Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,265.80 | Facility | None | $4,168.69 | $4,168.69 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,691.53 | Facility | None | $1,548.82 | $1,548.82 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $12,882.50 | Professional | None | $1,122.02 | $1,548.82 | $12,882.50 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $8,128.31 | Facility | None | $912.01 | $2,089.30 | $8,128.31 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $3,235.94 | Professional | None | $1,659.59 | $2,187.76 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,659.59 | Facility | None | $1,584.89 | $1,584.89 | $1,659.59 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,318.26 Typical High $1,949.84 | Professional | None | $776.25 | $1,318.26 | $1,949.84 |
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 $645.65 Median $645.65 Typical High $1,000.00 | Professional | 52 · Reduced service | $645.65 | $645.65 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $398.11 | Professional | 53 · Discontinued | $263.03 | $263.03 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $302.00 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $199.53 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $199.53 |
Where Indiana sits
The same service costs 3.1 times more in Hawaii than in Delaware. 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· 21st of 51
$1,660
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.