How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,318 to $19,498Professionalmedian $2,344 · 10th to 90th $1,622 to $3,467
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 $1,380.38 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,380.38 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $2,041.74 | Professional | None | $1,659.59 | $1,819.70 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $11,481.54 Typical High $23,988.33 | Facility | None | $1,479.11 | $11,481.54 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $3,090.30 | Professional | None | $1,548.82 | $2,511.89 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $977.24 Median $1,584.89 Typical High $1,949.84 | Professional | 62 · Two surgeons | $977.24 | $1,584.89 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $251.19 Median $407.38 Typical High $537.03 | Professional | 80 · Assistant surgeon | $251.19 | $407.38 | $537.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $218.78 Median $354.81 Typical High $436.52 | Professional | AS · PA/NP assist | $218.78 | $354.81 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,570.88 Typical High $8,128.31 | Facility | None | $676.08 | $4,570.88 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $12,882.50 | Professional | None | $1,949.84 | $2,344.23 | $12,882.50 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $5,011.87 Typical High $9,549.93 | Facility | None | $954.99 | $5,011.87 | $9,549.93 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,862.09 Median $2,754.23 Typical High $3,801.89 | Professional | None | $1,862.09 | $2,754.23 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,230.27 | $4,570.88 | $12,022.64 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $3,630.78 | Professional | None | $1,584.89 | $2,187.76 | $3,630.78 |
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 $812.83 Median $912.01 Typical High $1,000.00 | Professional | 52 · Reduced service | $812.83 | $912.01 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $363.08 Typical High $398.11 | Professional | 53 · Discontinued | $331.13 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,380.38 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,230.27 | $1,380.38 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $275.42 Typical High $295.12 | Professional | 55 · Aftercare only | $245.47 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $181.97 Typical High $199.53 | Professional | 56 · Pre-op care only | $165.96 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,288.25 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,288.25 | $1,380.38 |
Where Indiana sits
The same service costs 21.9 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· 29th of 51
$2,512
AK $7,943TX $363
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.