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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $56.23 | Professional | None | $44.67 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $24.55 Typical High $28.18 | Professional | 52 · Reduced service | $22.39 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.77 Typical High $11.22 | Professional | 53 · Discontinued | $8.91 | $9.77 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $7.24 Typical High $8.32 | Professional | 55 · Aftercare only | $6.61 | $7.24 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.90 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.47 | $4.90 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $66.07 Typical High $66.07 | Facility | None | $51.29 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $51.29 | Professional | None | $27.54 | $27.54 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $112.20 Typical High $114.82 | Facility | None | $54.95 | $112.20 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $97.72 Median $208.93 Typical High $2,187.76 | Facility | None | $97.72 | $208.93 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $72.44 | Professional | None | $42.66 | $64.57 | $72.44 |
United Setting Professional Modifier None Typical Low $10.96 Median $19.50 Typical High $36.31 | Professional | None | $10.96 | $19.50 | $36.31 |
Where Indiana sits
The same service costs 2.6 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
$28.84
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.