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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $107.15 Typical High $107.15 | Professional | None | $3.02 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $1.51 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $15.14 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $11.22 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.59 | $10.72 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $147.91 | Professional | None | $89.13 | $117.49 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $616.60 | Professional | None | $102.33 | $102.33 | $616.60 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $354.81 Median $954.99 Typical High $2,187.76 | Facility | None | $354.81 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $245.47 | Professional | None | $125.89 | $190.55 | $245.47 |
Where Indiana sits
The same service costs 83.2 times more in North Dakota than in Kansas. 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· 24th of 51
$107
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.