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 $3,388.44 | Professional | None | $1,737.80 | $1,737.80 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $3,981.07 | Facility | None | $2,951.21 | $3,715.35 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,715.35 | Professional | None | $2,089.30 | $2,089.30 | $3,715.35 |
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 $4,897.79 Median $4,897.79 Typical High $5,128.61 | Facility | None | $4,897.79 | $4,897.79 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,715.35 | Facility | None | $2,398.83 | $2,398.83 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,398.83 Typical High $17,782.79 | Professional | None | $1,737.80 | $2,398.83 | $17,782.79 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $5,495.41 Typical High $11,748.98 | Facility | None | $912.01 | $5,495.41 | $11,748.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $5,248.07 | Professional | None | $2,344.23 | $3,090.30 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Facility | None | $1,445.44 | $1,445.44 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,122.02 | $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 $1,698.24 | Professional | 52 · Reduced service | $870.96 | $870.96 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $676.08 | Professional | 53 · Discontinued | $346.74 | $346.74 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $512.86 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $338.84 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $338.84 |
Where Indiana sits
The same service costs 2.2 times more in Arkansas 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· 33rd 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.