How much rates vary
Facilitymedian $117 · 10th to 90th $93 to $347Professionalmedian $49 · 10th to 90th $30 to $87
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $87.10 | Professional | None | $69.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $34.67 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $13.80 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $10.47 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.92 | $8.71 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $117.49 Typical High $117.49 | Facility | None | $93.33 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | None | $48.98 | $48.98 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $128.82 Typical High $131.83 | Facility | None | $81.28 | $128.82 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $177.83 Median $371.54 Typical High $2,187.76 | Facility | None | $177.83 | $371.54 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $131.83 | Professional | None | $75.86 | $112.20 | $131.83 |
United Setting Professional Modifier None Typical Low $10.96 Median $29.51 Typical High $57.54 | Professional | None | $10.96 | $29.51 | $57.54 |
Where Indiana sits
The same service costs 3.2 times more in Hawaii 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· 43rd of 51
$48.98
HI $135NY $41.69
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.