How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $1,122,018Professionalmedian $575,440 · 10th to 90th $562,341 to $660,693
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 $588,843.66 Median $588,843.66 Typical High $1,148,153.62 | Facility | None | $588,843.66 | $588,843.66 | $1,148,153.62 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $588,843.66 Typical High $588,843.66 | Professional | None | $575,439.94 | $588,843.66 | $588,843.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $295,120.92 Typical High $295,120.92 | Professional | 52 · Reduced service | $288,403.15 | $295,120.92 | $295,120.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $117,489.76 Typical High $117,489.76 | Professional | 53 · Discontinued | $114,815.36 | $117,489.76 | $117,489.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $87,096.36 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $87,096.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $58,884.37 Typical High $58,884.37 | Professional | 56 · Pre-op care only | $57,543.99 | $58,884.37 | $58,884.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $575,439.94 | Facility | None | $0.02 | $0.02 | $575,439.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $562,341.33 Median $575,439.94 Typical High $758,577.58 | Professional | None | $562,341.33 | $575,439.94 | $758,577.58 |
CareSource Setting Facility Modifier None Typical Low $562,341.33 Median $851,138.04 Typical High $1,122,018.45 | Facility | None | $562,341.33 | $851,138.04 | $1,122,018.45 |
CareSource Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
Cigna Setting Professional Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $602,559.59 | Professional | None | $549,540.87 | $549,540.87 | $602,559.59 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $575,439.94 Typical High $1,698,243.65 | Facility | None | $912.01 | $575,439.94 | $1,698,243.65 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $354,813.39 Median $467,735.14 Typical High $831,763.77 | Professional | None | $354,813.39 | $467,735.14 | $831,763.77 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $954,992.59 | Professional | None | $562,341.33 | $562,341.33 | $954,992.59 |
Where Indiana sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 35th of 51
$575,440
TX $977,237MN $562,341
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.