How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $912Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.45 Median $0.45 Typical High $0.89 | Facility | None | $0.45 | $0.45 | $0.89 |
Aetna Setting Professional Modifier None Typical Low $0.45 Median $0.45 Typical High $0.46 | Professional | None | $0.45 | $0.45 | $0.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 52 · Reduced service | $0.23 | $0.23 | $0.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 53 · Discontinued | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.44 Median $0.71 Typical High $0.95 | Facility | None | $0.44 | $0.71 | $0.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.74 | Professional | None | $0.55 | $0.55 | $0.74 |
CareSource Setting Facility Modifier None Typical Low $0.56 Median $0.74 Typical High $1.07 | Facility | None | $0.56 | $0.74 | $1.07 |
Cigna Setting Facility Modifier None Typical Low $0.54 Median $1.20 Typical High $1.32 | Facility | None | $0.54 | $1.20 | $1.32 |
Cigna Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.71 | Professional | None | $0.48 | $0.48 | $0.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $3.02 Median $954.99 Typical High $2,187.76 | Facility | None | $3.02 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $0.38 Median $0.44 Typical High $0.72 | Professional | None | $0.38 | $0.44 | $0.72 |
United Setting Professional Modifier None Typical Low $0.47 Median $0.47 Typical High $0.50 | Professional | None | $0.47 | $0.47 | $0.50 |
Where Indiana sits
The same service costs 2.3 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· 20th of 51
$0.48
MT $1.05MI $0.45
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.