How much rates vary
Facilitymedian $955 · 10th to 90th $912 to $2,188Professionalmedian $1,549 · 10th to 90th $1,549 to $5,012
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 Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $5,011.87 | Professional | None | $1,548.82 | $1,548.82 | $5,011.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $776.25 Typical High $2,511.89 | Professional | 52 · Reduced service | $776.25 | $776.25 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $1,000.00 | Professional | 53 · Discontinued | $309.03 | $309.03 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $758.58 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $501.19 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $501.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
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 |