How much rates vary
Facilitymedian $65 · 10th to 90th $50 to $191Professionalmedian $30 · 10th to 90th $20 to $48
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $53.70 | Professional | None | $42.66 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $23.99 Typical High $26.92 | Professional | 52 · Reduced service | $21.38 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $10.72 | Professional | 53 · Discontinued | $8.71 | $9.55 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $7.24 Typical High $8.13 | Professional | 55 · Aftercare only | $6.46 | $7.24 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.79 Typical High $5.37 | Professional | 56 · Pre-op care only | $4.27 | $4.79 | $5.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $64.57 | Facility | None | $50.12 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $40.74 | Professional | None | $26.92 | $26.92 | $40.74 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $93.33 | Facility | None | $57.54 | $89.13 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $95.50 Median $204.17 Typical High $2,187.76 | Facility | None | $95.50 | $204.17 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $72.44 | Professional | None | $41.69 | $63.10 | $72.44 |
United Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $38.02 | Professional | None | $12.88 | $20.42 | $38.02 |
Where Indiana sits
The same service costs 2.8 times more in Montana 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· 50th of 51
$30.20
MT $83.18OH $30.20
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.