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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $89.13 | Professional | None | $70.79 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $38.90 Typical High $44.67 | Professional | 52 · Reduced service | $35.48 | $38.90 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.49 Typical High $17.78 | Professional | 53 · Discontinued | $14.13 | $15.49 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $11.75 Typical High $13.18 | Professional | 55 · Aftercare only | $10.72 | $11.75 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.76 Typical High $8.91 | Professional | 56 · Pre-op care only | $7.08 | $7.76 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $104.71 | Facility | None | $81.28 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $74.13 | Professional | None | $43.65 | $43.65 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $93.33 Median $158.49 Typical High $165.96 | Facility | None | $93.33 | $158.49 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $154.88 Median $331.13 Typical High $2,187.76 | Facility | None | $154.88 | $331.13 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $117.49 | Professional | None | $67.61 | $102.33 | $117.49 |
United Setting Professional Modifier None Typical Low $12.88 Median $33.11 Typical High $58.88 | Professional | None | $12.88 | $33.11 | $58.88 |
Where Indiana sits
The same service costs 2.6 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· 50th of 51
$48.98
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.