How much rates vary
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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $47.86 | Professional | None | $39.81 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $21.88 Typical High $23.99 | Professional | 52 · Reduced service | $19.95 | $21.88 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.71 Typical High $9.55 | Professional | 53 · Discontinued | $7.94 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.46 Typical High $7.24 | Professional | 55 · Aftercare only | $5.89 | $6.46 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.37 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.98 | $4.37 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $57.54 | Facility | None | $45.71 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $38.02 | Professional | None | $24.55 | $24.55 | $38.02 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $83.18 Typical High $85.11 | Facility | None | $50.12 | $83.18 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $87.10 Median $186.21 Typical High $2,187.76 | Facility | None | $87.10 | $186.21 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $38.02 Median $56.23 Typical High $64.57 | Professional | None | $38.02 | $56.23 | $64.57 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $32.36 | Professional | None | $10.96 | $17.78 | $32.36 |
Where Indiana sits
The same service costs 3.3 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
$26.30
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.