How much rates vary
Facilitymedian $214 · 10th to 90th $100 to $2,138Professionalmedian $100 · 10th to 90th $59 to $117
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $120.23 | Professional | None | $100.00 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $54.95 Typical High $60.26 | Professional | 52 · Reduced service | $50.12 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.88 Typical High $23.99 | Professional | 53 · Discontinued | $19.95 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $16.22 Typical High $18.20 | Professional | 55 · Aftercare only | $14.79 | $16.22 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.96 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.00 | $10.96 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $194.98 | Facility | None | $100.00 | $100.00 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | None | $100.00 | $100.00 | $125.89 |
CareSource Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $213.80 | Facility | None | $117.49 | $208.93 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $436.52 Median $912.01 Typical High $2,187.76 | Facility | None | $436.52 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $162.18 | Professional | None | $93.33 | $138.04 | $162.18 |
United Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $95.50 | Professional | None | $40.74 | $67.61 | $95.50 |
Where Indiana sits
The same service costs 3.0 times more in California 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· 30th of 51
$100
CA $178NY $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.