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 $7.59 Median $7.59 Typical High $15.14 | Facility | None | $7.59 | $7.59 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $11.48 Typical High $15.14 | Facility | None | $7.59 | $11.48 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $13.49 | Professional | None | $7.59 | $7.59 | $13.49 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $11.48 Typical High $15.14 | Facility | None | $7.59 | $11.48 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $18.62 Typical High $18.62 | Facility | None | $7.59 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $18.62 | Professional | None | $6.76 | $6.76 | $18.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $11.22 Median $912.01 Typical High $2,137.96 | Facility | None | $11.22 | $912.01 | $2,137.96 |
United Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $23.99 | Professional | None | $7.59 | $7.59 | $23.99 |
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 $3.80 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.15 Typical High $1.15 | Professional | 55 · Aftercare only | $1.12 | $1.15 | $1.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | 56 · Pre-op care only | $0.76 | $0.76 | $0.76 |
Where Indiana sits
The same service costs 229.1 times more in Alabama than in North Dakota. 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· 17th of 51
$7.76
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.