How much rates vary
Facilitymedian $195 · 10th to 90th $126 to $724Professionalmedian $126 · 10th to 90th $115 to $162
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $128.82 | Professional | None | $112.20 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $58.88 Typical High $64.57 | Professional | 52 · Reduced service | $56.23 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.78 Typical High $19.05 | Professional | 55 · Aftercare only | $16.98 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.75 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.22 | $11.75 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $512.86 | Facility | None | $125.89 | $186.21 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $147.91 | Professional | None | $89.13 | $117.49 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $346.74 Typical High $346.74 | Facility | None | $144.54 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $616.60 | Professional | None | $125.89 | $125.89 | $616.60 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $107.15 Median $912.01 Typical High $2,137.96 | Facility | None | $107.15 | $912.01 | $2,137.96 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $245.47 | Professional | None | $125.89 | $190.55 | $245.47 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | None | $125.89 | $125.89 | $173.78 |
Where Indiana sits
The same service costs 2.3 times more in North Dakota than in North Carolina. 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· 37th of 51
$126
ND $224NC $95.50
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.