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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $4,897.79 | Professional | None | $2,290.87 | $2,290.87 | $4,897.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $4,897.79 Typical High $5,248.07 | Facility | None | $3,890.45 | $4,897.79 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,897.79 | Professional | None | $2,884.03 | $2,884.03 | $4,897.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $288.40 Median $288.40 Typical High $407.38 | Professional | RR · Rental | $288.40 | $288.40 | $407.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,187.76 Median $2,187.76 Typical High $3,090.30 | Professional | UE · Used equipment | $2,187.76 | $2,187.76 | $3,090.30 |
CareSource Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,244.36 | Facility | None | $7,079.46 | $7,079.46 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,897.79 | Facility | None | $2,884.03 | $2,884.03 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $23,442.29 | Professional | None | $2,089.30 | $2,884.03 | $23,442.29 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $7,244.36 Typical High $15,488.17 | Facility | None | $912.01 | $7,244.36 | $15,488.17 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3,090.30 Median $4,073.80 Typical High $6,918.31 | Professional | None | $3,090.30 | $4,073.80 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $3,981.07 | Professional | None | $1,445.44 | $2,398.83 | $3,981.07 |
2 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 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $724.44 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $489.78 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $489.78 |
Where Indiana sits
The same service costs 2.4 times more in Montana 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· 34th of 51
$2,884
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.