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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,884.03 | Professional | None | $1,584.89 | $1,584.89 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $3,388.44 Typical High $3,548.13 | Facility | None | $2,630.27 | $3,388.44 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,388.44 | Professional | None | $1,698.24 | $1,698.24 | $3,388.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $239.88 | Professional | RR · Rental | $169.82 | $169.82 | $239.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,258.93 Median $1,258.93 Typical High $1,819.70 | Professional | UE · Used equipment | $1,258.93 | $1,258.93 | $1,819.70 |
CareSource Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,365.16 | Facility | None | $4,168.69 | $4,168.69 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,388.44 | Facility | None | $1,737.80 | $1,737.80 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $15,488.17 | Professional | None | $1,258.93 | $1,737.80 | $15,488.17 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $4,897.79 Typical High $10,471.29 | Facility | None | $912.01 | $4,897.79 | $10,471.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $4,677.35 | Professional | None | $2,089.30 | $2,754.23 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,445.44 | $1,621.81 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,659.59 Typical High $2,754.23 | Professional | None | $933.25 | $1,659.59 | $2,754.23 |
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 $776.25 Median $776.25 Typical High $1,445.44 | Professional | 52 · Reduced service | $776.25 | $776.25 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $575.44 | Professional | 53 · Discontinued | $316.23 | $316.23 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $436.52 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $288.40 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $288.40 |
Where Indiana sits
The same service costs 2.7 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· 33rd of 51
$1,698
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.