How much rates vary
Facilitymedian $224 · 10th to 90th $52 to $2,089Professionalmedian $35 · 10th to 90th $30 to $166
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 $95.50 Median $114.82 Typical High $162.18 | Facility | None | $95.50 | $114.82 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $114.82 | Professional | None | $91.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $45.71 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $18.20 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $13.80 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.48 Typical High $11.48 | Professional | 56 · Pre-op care only | $9.12 | $11.48 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $223.87 Typical High $295.12 | Facility | None | $30.20 | $223.87 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $40.74 | Professional | None | $30.20 | $30.20 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $102.33 Median $912.01 Typical High $2,187.76 | Facility | None | $102.33 | $912.01 | $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 6.8 times more in North Carolina than in Kentucky. 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· 48th of 51
$37.15
NC $204KY $30.20
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.