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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,318.26 | Professional | None | $616.60 | $616.60 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,412.54 | Facility | None | $1,047.13 | $1,318.26 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $794.33 Typical High $1,318.26 | Professional | None | $776.25 | $794.33 | $1,318.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $109.65 | Professional | RR · Rental | $77.62 | $77.62 | $109.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $812.83 | Professional | UE · Used equipment | $588.84 | $588.84 | $812.83 |
CareSource 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 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,318.26 | Facility | None | $724.44 | $724.44 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $6,309.57 | Professional | None | $524.81 | $724.44 | $6,309.57 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $4,073.80 | Facility | None | $912.01 | $2,187.76 | $4,073.80 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,862.09 | Professional | None | $831.76 | $1,096.48 | $1,862.09 |
United Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $1,071.52 | Professional | None | $389.05 | $645.65 | $1,071.52 |
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 $93.33 Median $93.33 Typical High $194.98 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $131.83 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $131.83 |
Where Indiana sits
The same service costs 2.4 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· 28th of 51
$776
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.