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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,380.38 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,951.21 Typical High $3,162.28 | Facility | None | $2,344.23 | $2,951.21 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,951.21 | Professional | None | $1,698.24 | $1,698.24 | $2,951.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $245.47 | Professional | RR · Rental | $169.82 | $169.82 | $245.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $1,778.28 |
CareSource Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,265.80 | Facility | None | $4,168.69 | $4,168.69 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,951.21 | Facility | None | $2,041.74 | $2,041.74 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $15,848.93 | Professional | None | $1,513.56 | $2,041.74 | $15,848.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $8,912.51 | Facility | None | $912.01 | $2,089.30 | $8,912.51 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $3,548.13 | Professional | None | $1,819.70 | $2,398.83 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Facility | None | $1,905.46 | $1,905.46 | $1,949.84 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $2,398.83 | Professional | None | $954.99 | $1,445.44 | $2,398.83 |
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 $691.83 Median $691.83 Typical High $1,412.54 | Professional | 52 · Reduced service | $691.83 | $691.83 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $575.44 | Professional | 53 · Discontinued | $275.42 | $275.42 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $426.58 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $288.40 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $288.40 |
Where Indiana sits
The same service costs 3.1 times more in Hawaii than in Pennsylvania. 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· 39th of 51
$1,698
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.