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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $151.36 | Professional | None | $72.44 | $72.44 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $177.83 | Facility | None | $123.03 | $154.88 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $158.49 | Professional | None | $102.33 | $102.33 | $158.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.23 Median $10.23 Typical High $14.45 | Professional | RR · Rental | $10.23 | $10.23 | $14.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | UE · Used equipment | $75.86 | $75.86 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $229.09 | Facility | None | $218.78 | $218.78 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $154.88 | Facility | None | $97.72 | $97.72 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $741.31 | Professional | None | $72.44 | $97.72 | $741.31 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $229.09 Median $489.78 Typical High $2,187.76 | Facility | None | $229.09 | $489.78 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $218.78 | Professional | None | $97.72 | $128.82 | $218.78 |
United Setting Professional Modifier None Typical Low $44.67 Median $75.86 Typical High $125.89 | Professional | None | $44.67 | $75.86 | $125.89 |
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 $10.72 Median $10.72 Typical High $22.91 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $15.14 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $15.14 |
Where Indiana sits
The same service costs 4.2 times more in Kansas 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· 24th of 51
$102
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.