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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,174.90 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $2,691.53 | Facility | None | $1,995.26 | $2,511.89 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,511.89 | Professional | None | $1,318.26 | $1,318.26 | $2,511.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $186.21 | Professional | RR · Rental | $131.83 | $131.83 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $977.24 Median $977.24 Typical High $1,412.54 | Professional | UE · Used equipment | $977.24 | $977.24 | $1,412.54 |
CareSource Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,235.94 | Facility | None | $3,162.28 | $3,162.28 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,511.89 | Facility | None | $1,584.89 | $1,584.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $12,302.69 | Professional | None | $1,174.90 | $1,584.89 | $12,302.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $7,585.78 | Facility | None | $912.01 | $2,089.30 | $7,585.78 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,548.82 | $2,041.74 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,445.44 | Facility | None | $1,258.93 | $1,258.93 | $1,445.44 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,230.27 Typical High $2,041.74 | Professional | None | $724.44 | $1,230.27 | $2,041.74 |
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 $588.84 Median $588.84 Typical High $1,096.48 | Professional | 52 · Reduced service | $588.84 | $588.84 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $436.52 | Professional | 53 · Discontinued | $234.42 | $234.42 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $323.59 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $218.78 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $218.78 |
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· 38th of 51
$1,318
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.