How much rates vary
Facilitymedian $132 · 10th to 90th $105 to $389Professionalmedian $63 · 10th to 90th $43 to $112
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $123.03 | Professional | None | $89.13 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $48.98 Typical High $61.66 | Professional | 52 · Reduced service | $44.67 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.50 Typical High $24.55 | Professional | 53 · Discontinued | $17.78 | $19.50 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $14.79 Typical High $18.62 | Professional | 55 · Aftercare only | $13.49 | $14.79 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.77 Typical High $12.30 | Professional | 56 · Pre-op care only | $8.91 | $9.77 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $131.83 | Facility | None | $104.71 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $114.82 | Professional | None | $54.95 | $54.95 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $120.23 Median $251.19 Typical High $257.04 | Facility | None | $120.23 | $251.19 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $199.53 Median $416.87 Typical High $2,187.76 | Facility | None | $199.53 | $416.87 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $147.91 | Professional | None | $85.11 | $128.82 | $147.91 |
United Setting Professional Modifier None Typical Low $15.14 Median $42.66 Typical High $77.62 | Professional | None | $15.14 | $42.66 | $77.62 |
Where Indiana sits
The same service costs 2.9 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· 49th of 51
$63.10
HI $170NY $58.88
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.