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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $562.34 | Professional | None | $269.15 | $269.15 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $575.44 Typical High $602.56 | Facility | None | $446.68 | $575.44 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $575.44 | Professional | None | $302.00 | $302.00 | $575.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | RR · Rental | $30.90 | $30.90 | $43.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | UE · Used equipment | $229.09 | $229.09 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $851.14 | Facility | None | $812.83 | $812.83 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $575.44 | Facility | None | $363.08 | $363.08 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $2,754.23 | Professional | None | $263.03 | $363.08 | $2,754.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $2,187.76 | Facility | None | $851.14 | $1,698.24 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $794.33 | Professional | None | $354.81 | $467.74 | $794.33 |
United Setting Professional Modifier None Typical Low $165.96 Median $281.84 Typical High $467.74 | Professional | None | $165.96 | $281.84 | $467.74 |
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 $131.83 Median $131.83 Typical High $281.84 | Professional | 52 · Reduced service | $131.83 | $131.83 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $112.20 | Professional | 53 · Discontinued | $53.70 | $53.70 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $85.11 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $56.23 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $56.23 |
Where Indiana sits
The same service costs 2.2 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· 41st of 51
$302
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.