How much rates vary
Facilitymedian $912 · 10th to 90th $19 to $2,138Professionalmedian $30 · 10th to 90th $19 to $33
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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $19.50 | Professional | None | $15.14 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $7.59 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.02 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.24 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.51 | $1.95 | $1.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $57.54 | Facility | None | $30.20 | $30.20 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | None | $30.20 | $30.20 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
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 $0.02 Median $0.02 Typical High $245.47 | Professional | None | $0.02 | $0.02 | $245.47 |
Where Indiana sits
The same service costs 22.4 times more in Montana than in Kansas. 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· 6th of 51
$30.20
MT $79.43KS $3.55
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.