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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,819.70 | $1,995.26 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $549.54 | Facility | None | $125.89 | $190.55 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $1,949.84 Typical High $2,187.76 | Professional | None | $117.49 | $1,949.84 | $2,187.76 |
CareSource Setting Facility Modifier None Typical Low $1,949.84 Median $2,951.21 Typical High $3,890.45 | Facility | None | $1,949.84 | $2,951.21 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $346.74 Typical High $346.74 | Facility | None | $144.54 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $3,715.35 | Professional | None | $125.89 | $125.89 | $3,715.35 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $275.42 Median $1,621.81 Typical High $3,235.94 | Facility | None | $275.42 | $1,621.81 | $3,235.94 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $1,905.46 | Professional | None | $144.54 | $234.42 | $1,905.46 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | None | $125.89 | $125.89 | $218.78 |
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 $912.01 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $912.01 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $363.08 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $275.42 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $181.97 | $199.53 | $199.53 |
Where Indiana sits
The same service costs 19.5 times more in Alaska than in North Carolina. 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· 6th of 51
$1,950
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.