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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $9.33 Typical High $9.33 | Professional | None | $6.03 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $3.02 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.23 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.91 Median $1.41 Typical High $1.41 | Professional | 55 · Aftercare only | $0.91 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.95 Typical High $0.95 | Professional | 56 · Pre-op care only | $0.62 | $0.95 | $0.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $25.70 Typical High $41.69 | Facility | None | $20.89 | $25.70 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.93 Median $12.88 Typical High $17.38 | Professional | None | $0.93 | $12.88 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $26.92 Typical High $26.92 | Facility | None | $10.96 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.76 Typical High $9.55 | Professional | None | $4.90 | $6.76 | $9.55 |
Where Indiana sits
The same service costs 46.8 times more in New York than in Arkansas. 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· 43rd of 51
$9.33
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.