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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $457.09 | Professional | None | $288.40 | $288.40 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $630.96 | Facility | None | $467.74 | $588.84 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $588.84 | Professional | None | $338.84 | $338.84 | $588.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | RR · Rental | $33.88 | $33.88 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | UE · Used equipment | $257.04 | $257.04 | $363.08 |
CareSource Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $977.24 | Facility | None | $954.99 | $954.99 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $588.84 | Facility | None | $371.54 | $371.54 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $3,090.30 | Professional | None | $275.42 | $371.54 | $3,090.30 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $891.25 Median $1,737.80 Typical High $2,187.76 | Facility | None | $891.25 | $1,737.80 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $831.76 | Professional | None | $371.54 | $489.78 | $831.76 |
United Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $371.54 | Facility | None | $269.15 | $269.15 | $371.54 |
United Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $446.68 | Professional | None | $186.21 | $288.40 | $446.68 |
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 $144.54 Median $144.54 Typical High $229.09 | Professional | 52 · Reduced service | $144.54 | $144.54 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $91.20 | Professional | 53 · Discontinued | $57.54 | $57.54 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $69.18 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $45.71 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $45.71 |
Where Indiana sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 29th of 51
$339
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.