How much rates vary
Facilitymedian $65 · 10th to 90th $23 to $955Professionalmedian $38 · 10th to 90th $23 to $66
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 $21.88 Median $22.91 Typical High $23.99 | Facility | None | $21.88 | $22.91 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $27.54 | Professional | None | $22.91 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $12.02 Typical High $13.80 | Professional | 52 · Reduced service | $11.48 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.79 Typical High $5.50 | Professional | 53 · Discontinued | $4.57 | $4.79 | $5.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.63 Typical High $4.17 | Professional | 55 · Aftercare only | $3.39 | $3.63 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.40 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.29 | $2.40 | $2.75 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $93.33 | Facility | None | $47.86 | $47.86 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $66.07 | Professional | None | $34.67 | $47.86 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $51.29 | Professional | None | $19.95 | $25.70 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $56.23 Median $75.86 Typical High $2,187.76 | Facility | None | $56.23 | $75.86 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $15.85 Median $23.44 Typical High $37.15 | Professional | None | $15.85 | $23.44 | $37.15 |
United Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $41.69 | Professional | None | $21.38 | $26.92 | $41.69 |
Where Indiana sits
The same service costs 2.8 times more in New York than in Georgia. 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· 7th of 51
$38.02
NY $52.48GA $18.62
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.