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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | None | $85.11 | $85.11 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | 52 · Reduced service | $42.66 | $42.66 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | 53 · Discontinued | $16.98 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $16.60 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $11.22 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $120.23 Typical High $173.78 | Professional | None | $72.44 | $120.23 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $109.65 | Facility | None | $104.71 | $104.71 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $245.47 Median $912.01 Typical High $2,137.96 | Facility | None | $245.47 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $158.49 | Professional | None | $97.72 | $125.89 | $158.49 |
United Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $169.82 | Professional | None | $91.20 | $120.23 | $169.82 |
Where Indiana sits
The same service costs 2.8 times more in North Dakota than in New York. 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· 47th of 51
$97.72
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.