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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | None | $870.96 | $870.96 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $1,905.46 | Facility | None | $1,445.44 | $1,819.70 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,819.70 | Professional | None | $851.14 | $851.14 | $1,819.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | RR · Rental | $85.11 | $85.11 | $128.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $645.65 Typical High $912.01 | Professional | UE · Used equipment | $645.65 | $645.65 | $912.01 |
CareSource Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,570.40 | Facility | None | $2,511.89 | $2,511.89 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,819.70 | Facility | None | $891.25 | $891.25 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $7,762.47 | Professional | None | $645.65 | $891.25 | $7,762.47 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,691.53 Typical High $5,623.41 | Facility | None | $912.01 | $2,691.53 | $5,623.41 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $2,570.40 | Professional | None | $1,122.02 | $1,479.11 | $2,570.40 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Facility | None | $707.95 | $707.95 | $870.96 |
United Setting Professional Modifier None Typical Low $478.63 Median $891.25 Typical High $1,318.26 | Professional | None | $478.63 | $891.25 | $1,318.26 |
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 $436.52 Median $436.52 Typical High $602.56 | Professional | 52 · Reduced service | $436.52 | $436.52 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | 53 · Discontinued | $177.83 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $181.97 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $120.23 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $120.23 |
Where Indiana sits
The same service costs 3.0 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· 31st of 51
$871
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.