How much rates vary
Facilitymedian $32 · 10th to 90th $25 to $95Professionalmedian $13 · 10th to 90th $12 to $24
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 $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $25.12 | Professional | None | $18.62 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $12.02 Typical High $12.59 | Professional | 52 · Reduced service | $9.33 | $12.02 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.79 Typical High $5.01 | Professional | 53 · Discontinued | $3.72 | $4.79 | $5.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $3.55 Typical High $3.80 | Professional | 55 · Aftercare only | $2.82 | $3.55 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $2.40 Typical High $2.51 | Professional | 56 · Pre-op care only | $1.86 | $2.40 | $2.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $31.62 Typical High $31.62 | Facility | None | $25.12 | $31.62 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.98 | Professional | None | $13.49 | $13.49 | $16.98 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $38.02 | Facility | None | $36.31 | $36.31 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $47.86 Median $100.00 Typical High $2,187.76 | Facility | None | $47.86 | $100.00 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $35.48 | Professional | None | $20.89 | $30.20 | $35.48 |
United Setting Professional Modifier None Typical Low $8.51 Median $14.45 Typical High $19.05 | Professional | None | $8.51 | $14.45 | $19.05 |
Where Indiana sits
The same service costs 3.5 times more in Hawaii than in New York. 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· 42nd of 51
$13.49
HI $37.15NY $10.72
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.