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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,884.03 | Professional | None | $1,737.80 | $1,737.80 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $3,890.45 | Facility | None | $2,951.21 | $3,715.35 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,715.35 | Professional | None | $1,737.80 | $1,737.80 | $3,715.35 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $245.47 | Professional | RR · Rental | $173.78 | $173.78 | $245.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,819.70 |
CareSource Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,265.80 | Facility | None | $4,168.69 | $4,168.69 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $3,715.35 | Facility | None | $1,778.28 | $1,778.28 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $15,848.93 | Professional | None | $1,288.25 | $1,778.28 | $15,848.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $11,220.18 | Facility | None | $912.01 | $2,089.30 | $11,220.18 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $4,466.84 | Professional | None | $2,290.87 | $3,019.95 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,862.09 | Facility | None | $1,621.81 | $1,621.81 | $1,862.09 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,819.70 Typical High $3,019.95 | Professional | None | $954.99 | $1,819.70 | $3,019.95 |
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 $870.96 Median $870.96 Typical High $1,412.54 | Professional | 52 · Reduced service | $870.96 | $870.96 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $575.44 | Professional | 53 · Discontinued | $346.74 | $346.74 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $426.58 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $288.40 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $288.40 |
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· 36th of 51
$1,738
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.