How much rates vary
Facilitymedian $69 · 10th to 90th $54 to $204Professionalmedian $33 · 10th to 90th $22 to $51
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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $58.88 | Professional | None | $46.77 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $25.70 Typical High $28.84 | Professional | 52 · Reduced service | $23.44 | $25.70 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $11.75 | Professional | 53 · Discontinued | $9.33 | $10.23 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.76 Typical High $8.71 | Professional | 55 · Aftercare only | $7.08 | $7.76 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.13 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.68 | $5.13 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $69.18 Typical High $69.18 | Facility | None | $53.70 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | None | $28.84 | $28.84 | $44.67 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $97.72 Typical High $100.00 | Facility | None | $63.10 | $97.72 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $102.33 Median $218.78 Typical High $2,187.76 | Facility | None | $102.33 | $218.78 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $77.62 | Professional | None | $44.67 | $67.61 | $77.62 |
United Setting Professional Modifier None Typical Low $12.88 Median $22.39 Typical High $40.74 | Professional | None | $12.88 | $22.39 | $40.74 |
Where Indiana sits
The same service costs 3.0 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· 49th of 51
$33.11
MT $97.72OH $33.11
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.