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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,290.87 | Professional | None | $1,412.54 | $1,412.54 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $3,235.94 | Facility | None | $2,398.83 | $3,090.30 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $3,090.30 | Professional | None | $1,380.38 | $1,380.38 | $3,090.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $194.98 | Professional | RR · Rental | $138.04 | $138.04 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | UE · Used equipment | $1,023.29 | $1,023.29 | $1,412.54 |
CareSource Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,388.44 | Facility | None | $3,311.31 | $3,311.31 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $3,090.30 | Facility | None | $1,412.54 | $1,412.54 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $12,589.25 | Professional | None | $1,047.13 | $1,412.54 | $12,589.25 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $9,332.54 | Facility | None | $912.01 | $2,089.30 | $9,332.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $3,715.35 | Professional | None | $1,905.46 | $2,511.89 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,513.56 | Facility | None | $1,348.96 | $1,348.96 | $1,513.56 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,511.89 | Professional | None | $758.58 | $1,513.56 | $2,511.89 |
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 $707.95 Median $707.95 Typical High $1,148.15 | Professional | 52 · Reduced service | $707.95 | $707.95 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $457.09 | Professional | 53 · Discontinued | $288.40 | $288.40 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $338.84 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $229.09 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $229.09 |
Where Indiana sits
The same service costs 3.2 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· 32nd of 51
$1,413
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.