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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.85 | Professional | None | $12.88 | $12.88 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $75.86 | Facility | None | $38.90 | $38.90 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $38.90 Typical High $51.29 | Professional | None | $25.70 | $38.90 | $51.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $5.50 | Professional | RR · Rental | $3.89 | $3.89 | $5.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $41.69 | Professional | UE · Used equipment | $29.51 | $29.51 | $41.69 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $77.62 | Facility | None | $42.66 | $56.23 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $29.51 | Facility | None | $27.54 | $27.54 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $27.54 Typical High $128.82 | Professional | None | $19.95 | $27.54 | $128.82 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $5.75 Median $24.55 Typical High $245.47 | Professional | None | $5.75 | $24.55 | $245.47 |
United Setting Professional Modifier None Typical Low $11.48 Median $17.38 Typical High $27.54 | Professional | None | $11.48 | $17.38 | $27.54 |
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 $6.46 Median $6.46 Typical High $7.94 | Professional | 52 · Reduced service | $6.46 | $6.46 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.16 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $1.95 Typical High $2.40 | Professional | 55 · Aftercare only | $1.95 | $1.95 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $1.58 |
Where Indiana sits
The same service costs 4.4 times more in Wyoming than in Colorado. 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· 3rd of 51
$38.90
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.