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 $52.48 Median $52.48 Typical High $72.44 | Facility | None | $52.48 | $52.48 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $58.88 | Professional | None | $51.29 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.30 Typical High $29.51 | Professional | 52 · Reduced service | $25.70 | $26.30 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.47 Typical High $12.02 | Professional | 53 · Discontinued | $10.23 | $10.47 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.94 Typical High $8.91 | Professional | 55 · Aftercare only | $7.59 | $7.94 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.25 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.13 | $5.25 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $177.83 | Facility | None | $93.33 | $93.33 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $125.89 | Professional | None | $83.18 | $93.33 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $295.12 | Professional | None | $52.48 | $52.48 | $295.12 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,290.87 | Facility | None | $912.01 | $2,089.30 | $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 |
United Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Where Indiana sits
The same service costs 4.6 times more in New York than in North Carolina. 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· 4th of 51
$83.18
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.