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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,466.84 | Professional | None | $2,137.96 | $2,137.96 | $4,466.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $4,570.88 Typical High $4,897.79 | Facility | None | $3,630.78 | $4,570.88 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,754.23 Typical High $4,570.88 | Professional | None | $2,691.53 | $2,754.23 | $4,570.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | RR · Rental | $269.15 | $269.15 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,818.38 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,818.38 |
CareSource Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,760.83 | Facility | None | $6,606.93 | $6,606.93 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,570.88 | Facility | None | $2,511.89 | $2,511.89 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $21,877.62 | Professional | None | $1,819.70 | $2,511.89 | $21,877.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $13,803.84 | Facility | None | $912.01 | $2,089.30 | $13,803.84 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,818.38 Median $3,715.35 Typical High $5,495.41 | Professional | None | $2,818.38 | $3,715.35 | $5,495.41 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,318.26 | $2,238.72 | $3,715.35 |
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 $1,071.52 Median $1,071.52 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $891.25 | Professional | 53 · Discontinued | $426.58 | $426.58 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $676.08 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $446.68 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $446.68 |
Where Indiana sits
The same service costs 2.6 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· 31st of 51
$2,692
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.