How much rates vary
Facilitymedian $912 · 10th to 90th $39 to $2,138Professionalmedian $44 · 10th to 90th $39 to $78
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $56.23 | Professional | None | $38.90 | $38.90 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $28.18 | Professional | 52 · Reduced service | $19.50 | $19.50 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $11.22 | Professional | 53 · Discontinued | $7.76 | $7.76 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $5.89 Typical High $8.51 | Professional | 55 · Aftercare only | $5.89 | $5.89 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $5.62 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $5.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $58.88 Typical High $87.10 | Professional | None | $33.11 | $58.88 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $77.62 | Professional | None | $47.86 | $77.62 | $77.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $109.65 Median $912.01 Typical High $2,137.96 | Facility | None | $109.65 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $79.43 | Professional | None | $44.67 | $60.26 | $79.43 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $81.28 | Professional | None | $42.66 | $54.95 | $81.28 |
Where Indiana sits
The same service costs 3.0 times more in North Dakota than in New York. 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· 50th of 51
$43.65
ND $129NY $42.66
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.