How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,318 to $19,498Professionalmedian $2,138 · 10th to 90th $1,660 to $3,715
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 $1,949.84 Median $2,137.96 Typical High $2,398.83 | Professional | None | $1,949.84 | $2,137.96 | $2,398.83 |
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 $1,659.59 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,659.59 | $1,949.84 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,047.13 Median $1,230.27 Typical High $1,737.80 | Professional | 62 · Two surgeons | $1,047.13 | $1,230.27 | $1,737.80 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $316.23 Typical High $489.78 | Professional | 80 · Assistant surgeon | $269.15 | $316.23 | $489.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $275.42 Typical High $389.05 | Professional | AS · PA/NP assist | $234.42 | $275.42 | $389.05 |
CareSource Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,466.84 Typical High $8,128.31 | Facility | None | $691.83 | $4,466.84 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,691.53 Typical High $13,803.84 | Professional | None | $2,238.72 | $2,691.53 | $13,803.84 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $5,888.44 Typical High $9,549.93 | Facility | None | $954.99 | $5,888.44 | $9,549.93 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,238.72 Median $3,235.94 Typical High $4,570.88 | Professional | None | $2,238.72 | $3,235.94 | $4,570.88 |
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 $1,862.09 Median $2,511.89 Typical High $4,168.69 | Professional | None | $1,862.09 | $2,511.89 | $4,168.69 |
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 $977.24 Median $1,071.52 Typical High $1,174.90 | Professional | 52 · Reduced service | $977.24 | $1,071.52 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $426.58 Typical High $467.74 | Professional | 53 · Discontinued | $389.05 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,584.89 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,445.44 | $1,584.89 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $316.23 Typical High $354.81 | Professional | 55 · Aftercare only | $295.12 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $213.80 Typical High $234.42 | Professional | 56 · Pre-op care only | $194.98 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,479.11 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,479.11 | $1,621.81 |
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· 43rd of 51
$2,291
AK $9,333TX $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.