How much rates vary
Facilitymedian $30 · 10th to 90th $20 to $51Professionalmedian $20 · 10th to 90th $19 to $26
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 $18.62 Median $18.62 Typical High $40.74 | Facility | None | $18.62 | $18.62 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.75 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $29.51 Typical High $40.74 | Facility | None | $20.42 | $29.51 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $20.42 Typical High $27.54 | Professional | None | $18.62 | $20.42 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $39.81 Typical High $52.48 | Facility | None | $26.30 | $39.81 | $52.48 |
CareSource Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $46.77 Typical High $51.29 | Facility | None | $25.70 | $46.77 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $85.11 | Professional | None | $18.62 | $18.62 | $85.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $40.74 Median $64.57 Typical High $194.98 | Facility | None | $40.74 | $64.57 | $194.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $33.11 Median $58.88 Typical High $69.18 | Professional | None | $33.11 | $58.88 | $69.18 |
United Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $26.92 | Professional | None | $20.42 | $20.42 | $26.92 |
Where Indiana sits
The same service costs 1.8 times more in Hawaii than in Ohio. 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
$20.42
HI $33.11OH $18.62
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.