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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $89.13 | Professional | None | $51.29 | $58.88 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $29.51 Typical High $43.65 | Professional | 52 · Reduced service | $25.70 | $29.51 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.75 Typical High $17.78 | Professional | 53 · Discontinued | $10.23 | $11.75 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.91 Typical High $13.18 | Professional | 55 · Aftercare only | $7.76 | $8.91 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.89 Typical High $8.91 | Professional | 56 · Pre-op care only | $5.13 | $5.89 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $1,047.13 Typical High $1,412.54 | Facility | None | $128.82 | $1,047.13 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $186.21 | Professional | None | $104.71 | $128.82 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $97.72 Median $1,445.44 Typical High $2,187.76 | Facility | None | $97.72 | $1,445.44 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $181.97 | Professional | None | $109.65 | $144.54 | $181.97 |
United Setting Professional Modifier None Typical Low $77.62 Median $93.33 Typical High $154.88 | Professional | None | $77.62 | $93.33 | $154.88 |
Where Indiana sits
The same service costs 5.0 times more in Alaska than in Pennsylvania. 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· 14th of 51
$129
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.