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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $707.95 | Professional | None | $380.19 | $380.19 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $812.83 Typical High $851.14 | Facility | None | $630.96 | $812.83 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $812.83 | Professional | None | $426.58 | $426.58 | $812.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $60.26 | Professional | RR · Rental | $42.66 | $42.66 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | UE · Used equipment | $316.23 | $316.23 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,023.29 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $602.56 Typical High $812.83 | Facility | None | $562.34 | $602.56 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $3,630.78 | Professional | None | $407.38 | $562.34 | $3,630.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,511.89 | Facility | None | $912.01 | $2,089.30 | $2,511.89 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $1,122.02 | Professional | None | $501.19 | $676.08 | $1,122.02 |
United Setting Professional Modifier None Typical Low $223.87 Median $398.11 Typical High $660.69 | Professional | None | $223.87 | $398.11 | $660.69 |
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 $56.23 Median $56.23 Typical High $107.15 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $70.79 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $70.79 |
Where Indiana sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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· 31st of 51
$427
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.