How much rates vary
Facilitymedian $89 · 10th to 90th $71 to $263Professionalmedian $38 · 10th to 90th $26 to $66
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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $74.13 | Professional | None | $60.26 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $33.11 Typical High $37.15 | Professional | 52 · Reduced service | $30.20 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.49 Typical High $14.79 | Professional | 53 · Discontinued | $12.30 | $13.49 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.00 Typical High $10.96 | Professional | 55 · Aftercare only | $9.12 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.61 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.03 | $6.61 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $89.13 Typical High $89.13 | Facility | None | $70.79 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $58.88 | Professional | None | $38.02 | $38.02 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $128.82 Typical High $131.83 | Facility | None | $72.44 | $128.82 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $134.90 Median $281.84 Typical High $2,187.76 | Facility | None | $134.90 | $281.84 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $100.00 | Professional | None | $56.23 | $85.11 | $100.00 |
United Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $48.98 | Professional | None | $19.05 | $26.30 | $48.98 |
Where Indiana sits
The same service costs 2.8 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· 49th of 51
$38.02
MT $100NY $35.48
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.