How much rates vary
Facilitymedian $93 · 10th to 90th $74 to $275Professionalmedian $42 · 10th to 90th $28 to $72
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $81.28 | Professional | None | $63.10 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $34.67 Typical High $40.74 | Professional | 52 · Reduced service | $31.62 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.80 Typical High $16.22 | Professional | 53 · Discontinued | $12.59 | $13.80 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $10.47 Typical High $12.30 | Professional | 55 · Aftercare only | $9.55 | $10.47 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.92 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.31 | $6.92 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $93.33 Typical High $93.33 | Facility | None | $74.13 | $93.33 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $72.44 | Professional | None | $38.90 | $38.90 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $154.88 Typical High $162.18 | Facility | None | $79.43 | $154.88 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $138.04 Median $295.12 Typical High $2,187.76 | Facility | None | $138.04 | $295.12 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $104.71 | Professional | None | $60.26 | $91.20 | $104.71 |
United Setting Professional Modifier None Typical Low $12.88 Median $28.18 Typical High $52.48 | Professional | None | $12.88 | $28.18 | $52.48 |
Where Indiana sits
The same service costs 2.4 times more in Hawaii than in Ohio. 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· 47th of 51
$41.69
HI $100OH $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.