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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $676.08 | Professional | None | $371.54 | $371.54 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $831.76 | Facility | None | $630.96 | $794.33 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $794.33 | Professional | None | $416.87 | $416.87 | $794.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | RR · Rental | $41.69 | $41.69 | $58.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $309.03 Typical High $436.52 | Professional | UE · Used equipment | $309.03 | $309.03 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,023.29 | Facility | None | $1,000.00 | $1,000.00 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $794.33 | Facility | None | $426.58 | $426.58 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $3,801.89 | Professional | None | $309.03 | $426.58 | $3,801.89 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,174.90 Typical High $2,398.83 | Facility | None | $912.01 | $1,174.90 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $954.99 | Professional | None | $489.78 | $645.65 | $954.99 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $457.09 | Facility | None | $426.58 | $426.58 | $457.09 |
United Setting Professional Modifier None Typical Low $229.09 Median $389.05 Typical High $645.65 | Professional | None | $229.09 | $389.05 | $645.65 |
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 $186.21 Median $186.21 Typical High $338.84 | Professional | 52 · Reduced service | $186.21 | $186.21 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $138.04 | Professional | 53 · Discontinued | $74.13 | $74.13 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $102.33 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $67.61 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $67.61 |
Where Indiana sits
The same service costs 3.8 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· 36th of 51
$417
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.