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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $851.14 | Professional | None | $446.68 | $446.68 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $977.24 Typical High $1,023.29 | Facility | None | $758.58 | $977.24 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $977.24 | Professional | None | $512.86 | $512.86 | $977.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | RR · Rental | $51.29 | $51.29 | $72.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $537.03 | Professional | UE · Used equipment | $380.19 | $380.19 | $537.03 |
CareSource Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,288.25 | Facility | None | $1,230.27 | $1,230.27 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $588.84 Typical High $977.24 | Facility | None | $524.81 | $588.84 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $4,365.16 | Professional | None | $389.05 | $524.81 | $4,365.16 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $3,019.95 | Facility | None | $912.01 | $2,187.76 | $3,019.95 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,348.96 | Professional | None | $602.56 | $812.83 | $1,348.96 |
United Setting Professional Modifier None Typical Low $269.15 Median $478.63 Typical High $794.33 | Professional | None | $269.15 | $478.63 | $794.33 |
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 $67.61 Median $67.61 Typical High $128.82 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $85.11 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $85.11 |
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
$513
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.