How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,445 to $30,200Professionalmedian $2,754 · 10th to 90th $1,738 to $4,266
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 $1,905.46 Median $3,467.37 Typical High $5,011.87 | Facility | None | $1,905.46 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,737.80 | $1,905.46 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $15,488.17 Typical High $33,884.42 | Facility | None | $2,398.83 | $15,488.17 | $33,884.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $3,981.07 | Professional | None | $1,698.24 | $3,235.94 | $3,981.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $2,041.74 Typical High $2,570.40 | Professional | 62 · Two surgeons | $1,047.13 | $2,041.74 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $524.81 Typical High $707.95 | Professional | 80 · Assistant surgeon | $269.15 | $524.81 | $707.95 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $457.09 Typical High $562.34 | Professional | AS · PA/NP assist | $234.42 | $457.09 | $562.34 |
CareSource Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,698.24 Typical High $2,691.53 | Facility | None | $645.65 | $1,698.24 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $18,620.87 | Professional | None | $2,089.30 | $3,162.28 | $18,620.87 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $9,120.11 | Facility | None | $954.99 | $2,818.38 | $9,120.11 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $4,168.69 | Professional | None | $2,041.74 | $2,884.03 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $5,128.61 Typical High $14,454.40 | Facility | None | $1,258.93 | $5,128.61 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $3,981.07 | Professional | None | $1,659.59 | $2,290.87 | $3,981.07 |
6 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 52 · Reduced service Typical Low $870.96 Median $954.99 Typical High $1,047.13 | Professional | 52 · Reduced service | $870.96 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $380.19 Typical High $416.87 | Professional | 53 · Discontinued | $346.74 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,412.54 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,318.26 | $1,412.54 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $281.84 Typical High $316.23 | Professional | 55 · Aftercare only | $263.03 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $190.55 Typical High $208.93 | Professional | 56 · Pre-op care only | $173.78 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,318.26 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,318.26 | $1,479.11 |
Where Indiana sits
The same service costs 19.5 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· 20th of 51
$3,020
AK $8,318TX $427
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.