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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,467.37 | Professional | None | $3,388.44 | $3,388.44 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,584.89 | $3,311.31 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $5,128.61 | Professional | None | $3,388.44 | $3,388.44 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $8,912.51 Typical High $9,772.37 | Facility | None | $3,890.45 | $8,912.51 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,168.69 | Professional | None | $3,548.13 | $3,548.13 | $4,168.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $5,495.41 | Facility | None | $912.01 | $2,089.30 | $5,495.41 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $3,311.31 | Professional | None | $2,754.23 | $3,235.94 | $3,311.31 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $5,754.40 | Professional | None | $3,467.37 | $3,467.37 | $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 $1,698.24 Median $1,698.24 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | 53 · Discontinued | $676.08 | $676.08 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | 55 · Aftercare only | $501.19 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $346.74 | Professional | 56 · Pre-op care only | $338.84 | $338.84 | $346.74 |
Where Indiana sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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· 42nd of 51
$3,467
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.