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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $2,951.21 | Facility | None | $1,380.38 | $2,187.76 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,148.15 | Professional | None | $478.63 | $478.63 | $1,148.15 |
CareSource Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,318.26 | Facility | None | $1,258.93 | $1,258.93 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $891.25 | Facility | None | $478.63 | $478.63 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $4,265.80 | Professional | None | $407.38 | $478.63 | $4,265.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,691.53 | Facility | None | $912.01 | $954.99 | $2,691.53 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,071.52 | Professional | None | $549.54 | $724.44 | $1,071.52 |
United Setting Professional Modifier None Typical Low $257.04 Median $426.58 Typical High $724.44 | Professional | None | $257.04 | $426.58 | $724.44 |
6 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 $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $61.66 Median $72.44 Typical High $147.91 | Professional | RR · Rental | $61.66 | $72.44 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $537.03 Typical High $1,096.48 | Professional | UE · Used equipment | $457.09 | $537.03 | $1,096.48 |
Where Indiana sits
The same service costs 3.2 times more in Michigan than in Ohio. 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
$603
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.