How much rates vary
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 $1,000.00 Median $3,467.37 Typical High $5,011.87 | Facility | None | $1,000.00 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,000.00 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $19,498.45 Typical High $28,183.83 | Facility | None | $2,570.40 | $19,498.45 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,698.24 | Professional | None | $977.24 | $1,230.27 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,819.70 Typical High $2,570.40 | Professional | 50 · Both sides | $1,479.11 | $1,819.70 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $776.25 Typical High $1,096.48 | Professional | 62 · Two surgeons | $616.60 | $776.25 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $194.98 Typical High $302.00 | Professional | 80 · Assistant surgeon | $158.49 | $194.98 | $302.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $169.82 Typical High $239.88 | Professional | AS · PA/NP assist | $138.04 | $169.82 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,348.96 Typical High $2,691.53 | Facility | None | $562.34 | $1,348.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,148.15 | $1,288.25 | $1,949.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $3,235.94 | Facility | None | $912.01 | $2,290.87 | $3,235.94 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,548.82 | $2,137.96 |
United Setting Facility Modifier None Typical Low $302.00 Median $2,290.87 Typical High $10,232.93 | Facility | None | $302.00 | $2,290.87 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,318.26 | $2,041.74 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $891.25 | Professional | 54 · Surgery only | $741.31 | $741.31 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $831.76 |
Where Indiana sits
The same service costs 6.8 times more in Alaska than in Texas. 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· 38th of 51
$1,259
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.