How much rates vary
Facilitymedian $95 · 10th to 90th $74 to $282Professionalmedian $40 · 10th to 90th $23 to $71
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $75.86 | Professional | None | $56.23 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $35.48 Typical High $37.15 | Professional | 52 · Reduced service | $27.54 | $35.48 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.13 Typical High $15.14 | Professional | 53 · Discontinued | $11.22 | $14.13 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $10.47 Typical High $11.22 | Professional | 55 · Aftercare only | $8.32 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $7.08 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.62 | $7.08 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $95.50 | Facility | None | $74.13 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | None | $39.81 | $39.81 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $104.71 | Facility | None | $64.57 | $102.33 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $141.25 Median $302.00 Typical High $2,187.76 | Facility | None | $141.25 | $302.00 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $104.71 | Professional | None | $61.66 | $89.13 | $104.71 |
United Setting Professional Modifier None Typical Low $10.96 Median $23.44 Typical High $46.77 | Professional | None | $10.96 | $23.44 | $46.77 |
Where Indiana sits
The same service costs 3.1 times more in Montana 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· 40th of 51
$39.81
MT $100NY $32.36
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.