How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $912Professionalmedian $0 · 10th to 90th $0 to $0
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 $0.33 Median $0.45 Typical High $0.66 | Facility | None | $0.33 | $0.45 | $0.66 |
Aetna Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.34 | Professional | None | $0.33 | $0.33 | $0.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 52 · Reduced service | $0.17 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.32 Median $0.51 Typical High $0.69 | Facility | None | $0.32 | $0.51 | $0.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.44 Median $0.44 Typical High $0.55 | Professional | None | $0.44 | $0.44 | $0.55 |
CareSource Setting Facility Modifier None Typical Low $0.28 Median $0.50 Typical High $0.56 | Facility | None | $0.28 | $0.50 | $0.56 |
Cigna Setting Facility Modifier None Typical Low $0.40 Median $0.95 Typical High $0.95 | Facility | None | $0.40 | $0.95 | $0.95 |
Cigna Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.44 | Professional | None | $0.35 | $0.35 | $0.44 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $0.52 Median $912.01 Typical High $2,137.96 | Facility | None | $0.52 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $0.24 Median $0.31 Typical High $0.59 | Professional | None | $0.24 | $0.31 | $0.59 |
United Setting Professional Modifier None Typical Low $0.34 Median $0.34 Typical High $0.45 | Professional | None | $0.34 | $0.34 | $0.45 |
Where Indiana sits
The same service costs 1.6 times more in Montana than in Michigan. 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· 11th of 51
$0.35
MT $0.52MI $0.33
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.