How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $26.30 | Professional | None | $19.95 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $11.22 Typical High $13.18 | Professional | 52 · Reduced service | $10.00 | $11.22 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.39 Typical High $3.89 | Professional | 55 · Aftercare only | $3.02 | $3.39 | $3.89 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $30.20 | Facility | None | $15.49 | $15.49 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $24.55 | Professional | None | $15.49 | $15.49 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $25.70 | Professional | None | $20.42 | $23.99 | $25.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $20.42 Median $912.01 Typical High $2,137.96 | Facility | None | $20.42 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $15.14 Median $24.55 Typical High $33.11 | Professional | None | $15.14 | $24.55 | $33.11 |
United Setting Professional Modifier None Typical Low $15.14 Median $23.99 Typical High $39.81 | Professional | None | $15.14 | $23.99 | $39.81 |
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 53 · Discontinued Typical Low $4.07 Median $4.57 Typical High $5.25 | Professional | 53 · Discontinued | $4.07 | $4.57 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.29 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.04 | $2.29 | $2.63 |
Where Indiana sits
The same service costs 4.1 times more in Wyoming 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· 49th of 51
$21.88
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.