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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $630.96 | Professional | None | $346.74 | $346.74 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $776.25 | Facility | None | $588.84 | $741.31 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $741.31 | Professional | None | $380.19 | $380.19 | $741.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $53.70 | Professional | RR · Rental | $38.02 | $38.02 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $407.38 | Professional | UE · Used equipment | $288.40 | $288.40 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $933.25 | Facility | None | $912.01 | $912.01 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $501.19 Typical High $741.31 | Facility | None | $467.74 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $3,467.37 | Professional | None | $338.84 | $478.63 | $3,467.37 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $2,290.87 | Facility | None | $912.01 | $1,096.48 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $891.25 | Professional | None | $457.09 | $602.56 | $891.25 |
United Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $416.87 | Facility | None | $380.19 | $380.19 | $416.87 |
United Setting Professional Modifier None Typical Low $208.93 Median $363.08 Typical High $602.56 | Professional | None | $208.93 | $363.08 | $602.56 |
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 $173.78 Median $173.78 Typical High $316.23 | Professional | 52 · Reduced service | $173.78 | $173.78 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $125.89 | Professional | 53 · Discontinued | $69.18 | $69.18 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $93.33 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $63.10 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $63.10 |
Where Indiana sits
The same service costs 2.9 times more in Hawaii than in Florida. 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
$380
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.