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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $363.08 Typical High $489.78 | Professional | None | $346.74 | $363.08 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $794.33 | Facility | None | $588.84 | $741.31 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $741.31 | Professional | None | $380.19 | $380.19 | $741.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $57.54 | Professional | RR · Rental | $38.02 | $38.02 | $57.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $407.38 | Professional | UE · Used equipment | $288.40 | $288.40 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,047.13 | Facility | None | $1,023.29 | $1,023.29 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $741.31 | Facility | None | $407.38 | $407.38 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $3,630.78 | Professional | None | $295.12 | $407.38 | $3,630.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $2,290.87 | Facility | None | $912.01 | $1,096.48 | $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 $436.52 Median $436.52 Typical High $575.44 | Facility | None | $436.52 | $436.52 | $575.44 |
United Setting Professional Modifier None Typical Low $218.78 Median $363.08 Typical High $537.03 | Professional | None | $218.78 | $363.08 | $537.03 |
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 $181.97 Median $181.97 Typical High $245.47 | Professional | 52 · Reduced service | $181.97 | $181.97 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | 53 · Discontinued | $72.44 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $74.13 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $48.98 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $48.98 |
Where Indiana sits
The same service costs 4.3 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· 37th of 51
$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.