How much rates vary
Facilitymedian $20 · 10th to 90th $16 to $60Professionalmedian $10 · 10th to 90th $7 to $15
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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $17.78 | Professional | None | $14.13 | $15.14 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.59 Typical High $8.91 | Professional | 52 · Reduced service | $6.92 | $7.59 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.09 Typical High $3.55 | Professional | 53 · Discontinued | $2.82 | $3.09 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.29 Typical High $2.69 | Professional | 55 · Aftercare only | $2.09 | $2.29 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.51 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.41 | $1.51 | $1.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $20.42 Typical High $20.42 | Facility | None | $16.22 | $20.42 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $14.79 | Professional | None | $8.71 | $8.71 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $18.62 Median $32.36 Typical High $33.11 | Facility | None | $18.62 | $32.36 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $30.90 Median $64.57 Typical High $2,187.76 | Facility | None | $30.90 | $64.57 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $13.18 Median $19.95 Typical High $22.91 | Professional | None | $13.18 | $19.95 | $22.91 |
United Setting Professional Modifier None Typical Low $6.03 Median $6.61 Typical High $12.30 | Professional | None | $6.03 | $6.61 | $12.30 |
Where Indiana sits
The same service costs 3.2 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· 48th of 51
$9.77
MT $26.92NY $8.32
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.