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 $2,511.89 | Professional | None | $1,412.54 | $1,412.54 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,162.28 | Facility | None | $2,398.83 | $3,019.95 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $3,019.95 | Professional | None | $1,479.11 | $1,479.11 | $3,019.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $208.93 | Professional | RR · Rental | $147.91 | $147.91 | $208.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,584.89 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,584.89 |
CareSource Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,801.89 | Facility | None | $3,630.78 | $3,630.78 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,019.95 | Facility | None | $1,513.56 | $1,513.56 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $13,489.63 | Professional | None | $1,122.02 | $1,513.56 | $13,489.63 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $9,120.11 | Facility | None | $912.01 | $2,089.30 | $9,120.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $3,630.78 | Professional | None | $1,862.09 | $2,454.71 | $3,630.78 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,659.59 | Facility | None | $1,621.81 | $1,621.81 | $1,659.59 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,479.11 Typical High $2,454.71 | Professional | None | $812.83 | $1,479.11 | $2,454.71 |
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 $1,258.93 | Professional | 52 · Reduced service | $707.95 | $707.95 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $501.19 | Professional | 53 · Discontinued | $281.84 | $281.84 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $380.19 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $251.19 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $251.19 |
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· 41st of 51
$1,479
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.