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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $5,754.40 | Facility | None | $2,951.21 | $2,951.21 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,890.45 | Professional | None | $2,951.21 | $2,951.21 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $11,220.18 Typical High $11,220.18 | Facility | None | $4,677.35 | $11,220.18 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $21,877.62 | Professional | None | $4,073.80 | $4,073.80 | $21,877.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $4,365.16 | Facility | None | $912.01 | $954.99 | $4,365.16 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $245.47 Median $3,890.45 Typical High $4,786.30 | Professional | None | $245.47 | $3,890.45 | $4,786.30 |
United Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $5,754.40 | Professional | None | $4,168.69 | $4,168.69 | $5,754.40 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 56 · Pre-op care only | $389.05 | $389.05 | $389.05 |
Where Indiana sits
The same service costs 2.2 times more in Alaska than in South 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· 40th of 51
$3,890
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.