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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,949.84 | Professional | None | $912.01 | $912.01 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $2,089.30 | Facility | None | $1,548.82 | $1,995.26 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,174.90 | $1,995.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $165.96 | Professional | RR · Rental | $117.49 | $117.49 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $870.96 Median $870.96 Typical High $1,258.93 | Professional | UE · Used equipment | $870.96 | $870.96 | $1,258.93 |
CareSource Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,884.03 | Facility | None | $2,818.38 | $2,818.38 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,995.26 | Facility | None | $1,230.27 | $1,230.27 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $10,715.19 | Professional | None | $891.25 | $1,230.27 | $10,715.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $6,025.60 | Facility | None | $912.01 | $2,089.30 | $6,025.60 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,621.81 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,202.26 | Facility | None | $1,071.52 | $1,071.52 | $1,202.26 |
United Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,621.81 | Professional | None | $645.65 | $954.99 | $1,621.81 |
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 $457.09 Median $457.09 Typical High $977.24 | Professional | 52 · Reduced service | $457.09 | $457.09 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $389.05 | Professional | 53 · Discontinued | $181.97 | $181.97 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $288.40 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $194.98 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $194.98 |
Where Indiana sits
The same service costs 3.1 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· 37th of 51
$1,175
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.