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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $4,570.88 | Professional | None | $2,754.23 | $2,754.23 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $5,888.44 Typical High $6,165.95 | Facility | None | $4,677.35 | $5,888.44 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $5,888.44 | Professional | None | $2,754.23 | $2,754.23 | $5,888.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $275.42 Median $275.42 Typical High $398.11 | Professional | RR · Rental | $275.42 | $275.42 | $398.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $2,951.21 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $2,951.21 |
CareSource Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,918.31 | Facility | None | $6,606.93 | $6,606.93 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $5,888.44 | Facility | None | $2,884.03 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $25,703.96 | Professional | None | $2,089.30 | $2,884.03 | $25,703.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $17,782.79 | Facility | None | $912.01 | $2,089.30 | $17,782.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $7,079.46 | Professional | None | $3,630.78 | $4,786.30 | $7,079.46 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,090.30 | Facility | None | $3,019.95 | $3,019.95 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,884.03 Typical High $4,786.30 | Professional | None | $1,513.56 | $2,884.03 | $4,786.30 |
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 $1,380.38 Median $1,380.38 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $912.01 | Professional | 53 · Discontinued | $549.54 | $549.54 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $691.83 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $457.09 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $457.09 |
Where Indiana sits
The same service costs 3.4 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· 36th of 51
$2,818
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.