How much rates vary
Facilitymedian $79 · 10th to 90th $63 to $234Professionalmedian $34 · 10th to 90th $23 to $59
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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $64.57 | Professional | None | $53.70 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $29.51 Typical High $32.36 | Professional | 52 · Reduced service | $26.92 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $11.75 Typical High $13.18 | Professional | 53 · Discontinued | $10.72 | $11.75 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.91 Typical High $9.77 | Professional | 55 · Aftercare only | $8.13 | $8.91 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.89 Typical High $6.46 | Professional | 56 · Pre-op care only | $5.37 | $5.89 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $79.43 | Facility | None | $63.10 | $79.43 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | None | $33.11 | $33.11 | $52.48 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $112.20 Typical High $117.49 | Facility | None | $64.57 | $112.20 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $120.23 Median $251.19 Typical High $2,187.76 | Facility | None | $120.23 | $251.19 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $50.12 Median $75.86 Typical High $89.13 | Professional | None | $50.12 | $75.86 | $89.13 |
United Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $45.71 | Professional | None | $19.05 | $22.91 | $45.71 |
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
$33.88
MT $100NY $31.62
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.