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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $41.69 | Professional | None | $29.51 | $29.51 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $61.66 Typical High $64.57 | Facility | None | $47.86 | $61.66 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $61.66 | Professional | None | $31.62 | $31.62 | $61.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.16 Typical High $4.47 | Professional | RR · Rental | $3.16 | $3.16 | $4.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $23.99 Typical High $33.88 | Professional | UE · Used equipment | $23.99 | $23.99 | $33.88 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $89.13 | Facility | None | $87.10 | $87.10 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $61.66 | Facility | None | $33.11 | $33.11 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $295.12 | Professional | None | $24.55 | $33.11 | $295.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $147.91 Median $912.01 Typical High $2,137.96 | Facility | None | $147.91 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $75.86 | Professional | None | $38.02 | $50.12 | $75.86 |
United Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $43.65 | Professional | None | $17.78 | $29.51 | $43.65 |
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 $14.79 Median $14.79 Typical High $20.89 | Professional | 52 · Reduced service | $14.79 | $14.79 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $8.32 | Professional | 53 · Discontinued | $5.89 | $5.89 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $6.31 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $4.17 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $4.17 |
Where Indiana sits
The same service costs 2.8 times more in Kansas 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· 40th of 51
$31.62
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.