How much rates vary
Facilitymedian $48 · 10th to 90th $38 to $141Professionalmedian $20 · 10th to 90th $13 to $35
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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $38.02 | Professional | None | $28.84 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $17.78 Typical High $19.05 | Professional | 52 · Reduced service | $14.45 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $5.75 | $7.08 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $5.37 Typical High $5.75 | Professional | 55 · Aftercare only | $4.27 | $5.37 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.55 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.88 | $3.55 | $3.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $47.86 Typical High $47.86 | Facility | None | $38.02 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $27.54 | Professional | None | $19.95 | $19.95 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $61.66 | Facility | None | $38.02 | $58.88 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $72.44 Median $151.36 Typical High $2,187.76 | Facility | None | $72.44 | $151.36 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $30.90 Median $46.77 Typical High $53.70 | Professional | None | $30.90 | $46.77 | $53.70 |
United Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $26.92 | Professional | None | $10.96 | $13.49 | $26.92 |
Where Indiana sits
The same service costs 3.2 times more in Montana than in Indiana. 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· 51st of 51
$19.95
MT $64.57IN $19.95
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.