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 $26.92 Median $40.74 Typical High $50.12 | Facility | None | $26.92 | $40.74 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $39.81 Typical High $53.70 | Facility | None | $26.92 | $39.81 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $53.70 | Professional | None | $26.92 | $26.92 | $53.70 |
CareSource Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $48.98 | Facility | None | $26.92 | $26.92 | $48.98 |
CareSource Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $72.44 Typical High $104.71 | Facility | None | $30.20 | $72.44 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $74.13 | Professional | None | $26.92 | $26.92 | $74.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $50.12 Median $54.95 Typical High $85.11 | Facility | None | $50.12 | $54.95 | $85.11 |
United Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $85.11 | Professional | None | $26.92 | $26.92 | $85.11 |
5 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 $13.18 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $13.18 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $3.98 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.63 | $2.69 | $2.69 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | JZ · No drug discarded | $22.91 | $22.91 | $22.91 |
Where Indiana sits
The same service costs 2.9 times more in Wyoming than in Minnesota. 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· 13th of 51
$32.36
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.