How much rates vary
Facilitymedian $98 · 10th to 90th $74 to $288Professionalmedian $47 · 10th to 90th $32 to $72
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $83.18 | Professional | None | $67.61 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $36.31 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $16.60 | Professional | 53 · Discontinued | $13.49 | $14.79 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.96 Typical High $12.59 | Professional | 55 · Aftercare only | $10.00 | $10.96 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.41 Typical High $8.32 | Professional | 56 · Pre-op care only | $6.76 | $7.41 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $97.72 | Facility | None | $77.62 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $67.61 | Professional | None | $41.69 | $41.69 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $144.54 Typical High $151.36 | Facility | None | $89.13 | $144.54 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $74.13 | Facility | None | $39.81 | $39.81 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $147.91 Median $309.03 Typical High $2,187.76 | Facility | None | $147.91 | $309.03 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $109.65 | Professional | None | $63.10 | $95.50 | $109.65 |
United Setting Professional Modifier None Typical Low $15.14 Median $32.36 Typical High $57.54 | Professional | None | $15.14 | $32.36 | $57.54 |
Where Indiana sits
The same service costs 2.5 times more in Montana than in Missouri. 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
$46.77
MT $115MO $46.77
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.