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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $6,165.95 | Professional | None | $3,467.37 | $3,467.37 | $6,165.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $7,413.10 Typical High $7,943.28 | Facility | None | $5,888.44 | $7,413.10 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $7,413.10 | Professional | None | $3,630.78 | $3,630.78 | $7,413.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $524.81 | Professional | RR · Rental | $363.08 | $363.08 | $524.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,754.23 Typical High $3,890.45 | Professional | UE · Used equipment | $2,754.23 | $2,754.23 | $3,890.45 |
CareSource Setting Facility Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $9,332.54 | Facility | None | $8,912.51 | $8,912.51 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $7,413.10 | Facility | None | $4,677.35 | $4,677.35 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $36,307.81 | Professional | None | $3,467.37 | $4,677.35 | $36,307.81 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $22,387.21 | Facility | None | $912.01 | $2,089.30 | $22,387.21 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $4,570.88 Median $6,025.60 Typical High $8,912.51 | Professional | None | $4,570.88 | $6,025.60 | $8,912.51 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,897.79 | Facility | None | $4,073.80 | $4,073.80 | $4,897.79 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $3,630.78 Typical High $6,025.60 | Professional | None | $2,041.74 | $3,630.78 | $6,025.60 |
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 $1,737.80 Median $1,737.80 Typical High $3,090.30 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $1,230.27 | Professional | 53 · Discontinued | $691.83 | $691.83 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $933.25 | Professional | 55 · Aftercare only | $524.81 | $524.81 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $616.60 | Professional | 56 · Pre-op care only | $346.74 | $346.74 | $616.60 |
Where Indiana sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 35th of 51
$3,631
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.