How much rates vary
Facilitymedian $76 · 10th to 90th $59 to $224Professionalmedian $35 · 10th to 90th $23 to $56
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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $61.66 | Professional | None | $51.29 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $28.18 Typical High $30.90 | Professional | 52 · Reduced service | $25.70 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.22 Typical High $12.30 | Professional | 53 · Discontinued | $10.23 | $11.22 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.51 Typical High $9.33 | Professional | 55 · Aftercare only | $7.76 | $8.51 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.62 Typical High $6.17 | Professional | 56 · Pre-op care only | $5.13 | $5.62 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $75.86 | Facility | None | $58.88 | $75.86 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $48.98 | Professional | None | $31.62 | $31.62 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $109.65 | Facility | None | $66.07 | $107.15 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $112.20 Median $239.88 Typical High $2,187.76 | Facility | None | $112.20 | $239.88 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $85.11 | Professional | None | $48.98 | $74.13 | $85.11 |
United Setting Professional Modifier None Typical Low $12.88 Median $23.44 Typical High $42.66 | Professional | None | $12.88 | $23.44 | $42.66 |
Where Indiana sits
The same service costs 2.9 times more in Montana than in Nebraska. 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· 48th of 51
$34.67
MT $100NE $34.67
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.