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 $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $10,232.93 | Professional | None | $4,897.79 | $4,897.79 | $10,232.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,317.64 Median $10,471.29 Typical High $11,220.18 | Facility | None | $8,317.64 | $10,471.29 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $10,471.29 | Professional | None | $5,623.41 | $5,623.41 | $10,471.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $562.34 Median $562.34 Typical High $794.33 | Professional | RR · Rental | $562.34 | $562.34 | $794.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,265.80 Median $4,265.80 Typical High $5,888.44 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $5,888.44 |
CareSource Setting Facility Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,488.17 | Facility | None | $15,135.61 | $15,135.61 | $15,488.17 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $7,079.46 Typical High $10,471.29 | Facility | None | $6,606.93 | $7,079.46 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $6,606.93 Typical High $50,118.72 | Professional | None | $4,897.79 | $6,606.93 | $50,118.72 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $31,622.78 | Facility | None | $912.01 | $2,089.30 | $31,622.78 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $6,456.54 Median $8,511.38 Typical High $12,589.25 | Professional | None | $6,456.54 | $8,511.38 | $12,589.25 |
United Setting Professional Modifier None Typical Low $3,090.30 Median $5,128.61 Typical High $8,511.38 | Professional | None | $3,090.30 | $5,128.61 | $8,511.38 |
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 $741.31 Median $741.31 Typical High $1,548.82 | Professional | 55 · Aftercare only | $741.31 | $741.31 | $1,548.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $489.78 Median $489.78 Typical High $1,023.29 | Professional | 56 · Pre-op care only | $489.78 | $489.78 | $1,023.29 |
Where Indiana sits
The same service costs 2.3 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· 39th of 51
$5,623
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.