How much rates vary
Facilitymedian $89 · 10th to 90th $69 to $263Professionalmedian $37 · 10th to 90th $25 to $66
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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $72.44 | Professional | None | $60.26 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $33.11 Typical High $36.31 | Professional | 52 · Reduced service | $30.20 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.18 Typical High $14.45 | Professional | 53 · Discontinued | $12.02 | $13.18 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.00 Typical High $10.96 | Professional | 55 · Aftercare only | $9.12 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.61 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.03 | $6.61 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $89.13 Typical High $89.13 | Facility | None | $69.18 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $60.26 | Professional | None | $37.15 | $37.15 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $131.83 Typical High $134.90 | Facility | None | $70.79 | $131.83 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $131.83 Median $281.84 Typical High $2,187.76 | Facility | None | $131.83 | $281.84 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $100.00 | Professional | None | $57.54 | $85.11 | $100.00 |
United Setting Professional Modifier None Typical Low $12.88 Median $25.12 Typical High $47.86 | Professional | None | $12.88 | $25.12 | $47.86 |
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
$37.15
MT $95.50IN $37.15
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.