How much rates vary
Facilitymedian $117 · 10th to 90th $5 to $2,089Professionalmedian $29 · 10th to 90th $5 to $58
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $4.79 Median $4.90 Typical High $4.90 | Facility | None | $4.79 | $4.90 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $6.03 | Professional | None | $4.90 | $4.90 | $6.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.45 Median $2.45 Typical High $3.02 | Professional | 52 · Reduced service | $2.45 | $2.45 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.20 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.74 Median $0.74 Typical High $0.89 | Professional | 55 · Aftercare only | $0.74 | $0.74 | $0.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.49 Median $0.49 Typical High $0.60 | Professional | 56 · Pre-op care only | $0.49 | $0.49 | $0.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $114.82 Typical High $154.88 | Facility | None | $36.31 | $114.82 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $64.57 | Professional | None | $28.84 | $30.90 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $5.25 Median $20.42 Typical High $117.49 | Facility | None | $5.25 | $20.42 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $181.97 | Professional | None | $19.05 | $20.89 | $181.97 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76 | Facility | None | $912.01 | $954.99 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3.89 Median $5.50 Typical High $30.20 | Professional | None | $3.89 | $5.50 | $30.20 |
United Setting Professional Modifier None Typical Low $6.92 Median $23.99 Typical High $23.99 | Professional | None | $6.92 | $23.99 | $23.99 |
Where Indiana sits
The same service costs 11.7 times more in New York than in North Carolina. 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· 9th of 51
$28.84
NY $64.57NC $5.50
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.