How much rates vary
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 $5.75 Median $933.25 Typical High $1,096.48 | Facility | None | $5.75 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $630.96 | Professional | None | $5.75 | $5.75 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $2.88 Typical High $316.23 | Professional | 52 · Reduced service | $2.88 | $2.88 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.15 Typical High $125.89 | Professional | 53 · Discontinued | $1.15 | $1.15 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.87 Median $0.87 Typical High $95.50 | Professional | 55 · Aftercare only | $0.87 | $0.87 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $0.58 Typical High $63.10 | Professional | 56 · Pre-op care only | $0.58 | $0.58 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $2,089.30 Typical High $2,818.38 | Facility | None | $97.72 | $2,089.30 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $97.72 | Professional | None | $77.62 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Where Indiana sits
The same service costs 190.5 times more in North Carolina than in North Dakota. 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· 33rd of 51
$97.72
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.