How much rates vary
Facilitymedian $13,183 · 10th to 90th $1,413 to $56,234Professionalmedian $1,259 · 10th to 90th $977 to $1,950
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 $1,096.48 Median $5,011.87 Typical High $11,220.18 | Facility | None | $1,096.48 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,230.27 | Professional | None | $977.24 | $1,096.48 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $38,018.94 Typical High $77,624.71 | Facility | None | $2,238.72 | $38,018.94 | $77,624.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,445.44 Typical High $1,819.70 | Professional | None | $977.24 | $1,445.44 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $912.01 Typical High $1,202.26 | Professional | 62 · Two surgeons | $616.60 | $912.01 | $1,202.26 |
CareSource Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $30,902.95 | Facility | None | $1,174.90 | $1,174.90 | $30,902.95 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $20,892.96 Typical High $38,018.94 | Facility | None | $1,174.90 | $20,892.96 | $38,018.94 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $5,128.61 | Professional | None | $1,096.48 | $1,258.93 | $5,128.61 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $2,089.30 Median $26,915.35 Typical High $40,738.03 | Facility | None | $2,089.30 | $26,915.35 | $40,738.03 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,659.59 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $4,168.69 Typical High $9,120.11 | Facility | None | $1,096.48 | $4,168.69 | $9,120.11 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $2,089.30 | Professional | None | $954.99 | $1,174.90 | $2,089.30 |
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 $812.83 Typical High $891.25 | Professional | 54 · Surgery only | $741.31 | $812.83 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $831.76 |
Where Indiana sits
The same service costs 8.5 times more in Wyoming 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.
Physician feeFacility fee
WY $22,644KY $2,656
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.