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 $4.07 Median $8.32 Typical High $18.20 | Facility | None | $4.07 | $8.32 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $20.89 | Professional | None | $3.72 | $4.07 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.89 Median $4.90 Typical High $14.79 | Facility | None | $3.89 | $4.90 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $2.63 Typical High $5.75 | Professional | None | $2.19 | $2.63 | $5.75 |
CareSource Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $2.95 Typical High $6.61 | Professional | None | $2.88 | $2.95 | $6.61 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $2,187.76 | Facility | None | $8.91 | $12.30 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.16 Median $3.63 Typical High $4.27 | Professional | None | $3.16 | $3.63 | $4.27 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.63 Typical High $5.89 | Professional | None | $2.09 | $3.63 | $5.89 |
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 $1.86 Median $2.04 Typical High $10.47 | Professional | 52 · Reduced service | $1.86 | $2.04 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.81 Typical High $4.17 | Professional | 53 · Discontinued | $0.74 | $0.81 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.62 Typical High $3.16 | Professional | 55 · Aftercare only | $0.56 | $0.62 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.41 Typical High $2.09 | Professional | 56 · Pre-op care only | $0.37 | $0.41 | $2.09 |
Where Indiana sits
The same service costs 3.6 times more in Mississippi than in Kentucky. 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
$3.63
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.