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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $588.84 | Professional | None | $316.23 | $316.23 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $724.44 | Facility | None | $537.03 | $676.08 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $676.08 | Professional | None | $363.08 | $363.08 | $676.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $51.29 | Professional | RR · Rental | $36.31 | $36.31 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | UE · Used equipment | $269.15 | $269.15 | $380.19 |
CareSource Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $891.25 | Facility | None | $851.14 | $851.14 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $676.08 | Facility | None | $398.11 | $398.11 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $3,311.31 | Professional | None | $295.12 | $398.11 | $3,311.31 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,137.96 | Facility | None | $912.01 | $1,000.00 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $812.83 | Professional | None | $416.87 | $549.54 | $812.83 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $549.54 | Professional | None | $194.98 | $331.13 | $549.54 |
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 $158.49 Median $158.49 Typical High $295.12 | Professional | 52 · Reduced service | $158.49 | $158.49 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $117.49 | Professional | 53 · Discontinued | $63.10 | $63.10 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $89.13 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $58.88 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $58.88 |
Where Indiana sits
The same service costs 3.7 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· 36th of 51
$363
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.