How much rates vary
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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $70.79 | Professional | None | $52.48 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $33.11 Typical High $35.48 | Professional | 52 · Reduced service | $26.30 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $13.49 Typical High $14.13 | Professional | 53 · Discontinued | $10.47 | $13.49 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $10.00 Typical High $10.47 | Professional | 55 · Aftercare only | $7.94 | $10.00 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $6.61 Typical High $7.08 | Professional | 56 · Pre-op care only | $5.25 | $6.61 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $89.13 Typical High $89.13 | Facility | None | $70.79 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | None | $38.02 | $38.02 | $47.86 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $97.72 Typical High $100.00 | Facility | None | $63.10 | $97.72 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $134.90 Median $281.84 Typical High $2,187.76 | Facility | None | $134.90 | $281.84 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $100.00 | Professional | None | $57.54 | $85.11 | $100.00 |
United Setting Professional Modifier None Typical Low $10.96 Median $22.39 Typical High $43.65 | Professional | None | $10.96 | $22.39 | $43.65 |
Where Indiana sits
The same service costs 2.7 times more in Hawaii than in Alabama. 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· 42nd of 51
$38.02
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.