How much rates vary
Facilitymedian $955 · 10th to 90th $708 to $8,511Professionalmedian $170 · 10th to 90th $93 to $708
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $707.95 Typical High $758.58 | Professional | None | $165.96 | $707.95 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $354.81 Typical High $380.19 | Professional | 52 · Reduced service | $83.18 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $141.25 Typical High $151.36 | Professional | 53 · Discontinued | $33.88 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $107.15 Typical High $114.82 | Professional | 55 · Aftercare only | $25.12 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $70.79 Typical High $75.86 | Professional | 56 · Pre-op care only | $16.60 | $70.79 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $8,511.38 | Facility | None | $6,309.57 | $6,309.57 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $218.78 | Professional | None | $102.33 | $169.82 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $1,380.38 | Professional | None | $154.88 | $154.88 | $1,380.38 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,290.87 | Facility | None | $912.01 | $954.99 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $245.47 | Professional | None | $190.55 | $208.93 | $245.47 |
United Setting Professional Modifier None Typical Low $70.79 Median $138.04 Typical High $281.84 | Professional | None | $70.79 | $138.04 | $281.84 |
Where Indiana sits
The same service costs 7.6 times more in Colorado than in Rhode Island. 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· 41st of 51
$170
CO $912RI $120
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.