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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,801.89 | Professional | None | $1,819.70 | $1,819.70 | $3,801.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $4,073.80 | Facility | None | $3,090.30 | $3,890.45 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,890.45 | Professional | None | $2,089.30 | $2,089.30 | $3,890.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $295.12 | Professional | RR · Rental | $208.93 | $208.93 | $295.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $2,187.76 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $2,187.76 |
CareSource Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,754.40 | Facility | None | $5,495.41 | $5,495.41 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,890.45 | Facility | None | $2,454.71 | $2,454.71 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $18,620.87 | Professional | None | $1,778.28 | $2,454.71 | $18,620.87 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $5,754.40 Typical High $12,022.64 | Facility | None | $912.01 | $5,754.40 | $12,022.64 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $5,495.41 | Professional | None | $2,454.71 | $3,162.28 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,122.02 | $1,905.46 | $3,162.28 |
2 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 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $575.44 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $380.19 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $380.19 |
Where Indiana sits
The same service costs 2.3 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· 39th of 51
$2,089
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.