How much rates vary
Facilitymedian $955 · 10th to 90th $245 to $2,239Professionalmedian $501 · 10th to 90th $22 to $562
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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None | $245.47 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | 52 · Reduced service | $120.23 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | 53 · Discontinued | $48.98 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $28.84 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $1,698.24 Typical High $2,238.72 | Facility | None | $501.19 | $1,698.24 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $676.08 | Professional | None | $501.19 | $501.19 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $309.03 | Professional | None | $22.39 | $22.39 | $309.03 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $2,187.76 | Facility | None | $812.83 | $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 25.1 times more in North Dakota than in West Virginia. 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· 4th of 51
$501
ND $562WV $22.39
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.