How much rates vary
Facilitymedian $117 · 10th to 90th $93 to $347Professionalmedian $52 · 10th to 90th $35 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 $79.43 Median $87.10 Typical High $95.50 | Professional | None | $79.43 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $43.65 Typical High $47.86 | Professional | 52 · Reduced service | $39.81 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $16.22 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $13.18 Typical High $14.13 | Professional | 55 · Aftercare only | $12.02 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.71 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.94 | $8.71 | $9.55 |
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 $50.12 Median $50.12 Typical High $77.62 | Professional | None | $50.12 | $50.12 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $165.96 Typical High $173.78 | Facility | None | $100.00 | $165.96 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $114.82 Typical High $131.83 | Professional | None | $75.86 | $114.82 | $131.83 |
United Setting Professional Modifier None Typical Low $15.14 Median $35.48 Typical High $64.57 | Professional | None | $15.14 | $35.48 | $64.57 |
Where Indiana sits
The same service costs 4.2 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· 48th of 51
$52.48
HI $191NY $45.71
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.