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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $371.54 | Professional | None | $269.15 | $269.15 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $549.54 Typical High $588.84 | Facility | None | $436.52 | $549.54 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $549.54 | Professional | None | $323.59 | $323.59 | $549.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $46.77 | Professional | RR · Rental | $32.36 | $32.36 | $46.77 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $346.74 | Professional | UE · Used equipment | $239.88 | $239.88 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $794.33 | Facility | None | $776.25 | $776.25 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $363.08 Typical High $549.54 | Facility | None | $331.13 | $363.08 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $2,884.03 | Professional | None | $239.88 | $331.13 | $2,884.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,137.96 | Facility | None | $912.01 | $954.99 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $676.08 | Professional | None | $338.84 | $446.68 | $676.08 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $363.08 | Facility | None | $354.81 | $354.81 | $363.08 |
United Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $416.87 | Professional | None | $177.83 | $269.15 | $416.87 |
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 $134.90 Median $134.90 Typical High $186.21 | Professional | 52 · Reduced service | $134.90 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $74.13 | Professional | 53 · Discontinued | $53.70 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $56.23 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $37.15 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $37.15 |
Where Indiana sits
The same service costs 4.1 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· 36th of 51
$324
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.