How much rates vary
Facilitymedian $22 · 10th to 90th $17 to $65Professionalmedian $10 · 10th to 90th $9 to $18
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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $16.22 Typical High $19.50 | Professional | None | $14.79 | $16.22 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $8.13 Typical High $9.77 | Professional | 52 · Reduced service | $7.41 | $8.13 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.24 Typical High $3.89 | Professional | 53 · Discontinued | $2.95 | $3.24 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $2.45 Typical High $2.95 | Professional | 55 · Aftercare only | $2.24 | $2.45 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $1.62 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.48 | $1.62 | $1.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $21.88 Typical High $21.88 | Facility | None | $17.38 | $21.88 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $17.38 | Professional | None | $9.12 | $9.12 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $18.62 Median $38.02 Typical High $39.81 | Facility | None | $18.62 | $38.02 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $33.11 Median $69.18 Typical High $2,187.76 | Facility | None | $33.11 | $69.18 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $14.13 Median $21.38 Typical High $24.55 | Professional | None | $14.13 | $21.38 | $24.55 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $18.20 | Professional | None | $6.61 | $10.23 | $18.20 |
Where Indiana sits
The same service costs 3.0 times more in Montana 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· 44th of 51
$10.00
MT $25.12NY $8.51
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.