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 $53.70 Median $74.13 Typical High $100.00 | Facility | None | $53.70 | $74.13 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | None | $52.48 | $53.70 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $107.15 | Facility | None | $52.48 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $95.50 | Professional | None | $52.48 | $52.48 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $95.50 | Facility | None | $52.48 | $52.48 | $95.50 |
CareSource Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $120.23 Typical High $131.83 | Facility | None | $53.70 | $120.23 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $131.83 | Professional | None | $47.86 | $47.86 | $131.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $47.86 Median $107.15 Typical High $165.96 | Facility | None | $47.86 | $107.15 | $165.96 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $165.96 | Professional | None | $52.48 | $52.48 | $165.96 |
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 $26.30 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.30 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $5.37 |
Where Indiana sits
The same service costs 1.7 times more in Arizona than in Rhode Island. 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· 18th of 51
$54.95
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.