How much rates vary
Facilitymedian $2,188 · 10th to 90th $912 to $2,399Professionalmedian $2,399 · 10th to 90th $2,399 to $4,898
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $4,897.79 | Professional | None | $2,398.83 | $2,398.83 | $4,897.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,202.26 Typical High $2,454.71 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $977.24 | Professional | 53 · Discontinued | $478.63 | $478.63 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $724.44 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $489.78 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $489.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |