How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,259 to $19,498Professionalmedian $2,399 · 10th to 90th $1,820 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 $2,089.30 Median $3,467.37 Typical High $5,011.87 | Facility | None | $2,089.30 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,089.30 | $2,290.87 |
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 $1,862.09 Median $2,511.89 Typical High $3,311.31 | Professional | None | $1,862.09 | $2,511.89 | $3,311.31 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,584.89 Typical High $2,137.96 | Professional | 62 · Two surgeons | $1,174.90 | $1,584.89 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $398.11 Typical High $549.54 | Professional | 80 · Assistant surgeon | $295.12 | $398.11 | $549.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $263.03 Median $354.81 Typical High $467.74 | Professional | AS · PA/NP assist | $263.03 | $354.81 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,981.07 Typical High $6,606.93 | Facility | None | $630.96 | $3,981.07 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $10,471.29 | Professional | None | $1,778.28 | $2,398.83 | $10,471.29 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $5,623.41 Typical High $8,511.38 | Facility | None | $954.99 | $5,623.41 | $8,511.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,238.72 Median $3,090.30 Typical High $4,466.84 | Professional | None | $2,238.72 | $3,090.30 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,202.26 | $4,570.88 | $12,022.64 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $3,981.07 | Professional | None | $1,819.70 | $2,187.76 | $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 $933.25 Median $1,047.13 Typical High $1,148.15 | Professional | 52 · Reduced service | $933.25 | $1,047.13 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $416.87 Typical High $457.09 | Professional | 53 · Discontinued | $380.19 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,548.82 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,412.54 | $1,548.82 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $309.03 Typical High $338.84 | Professional | 55 · Aftercare only | $281.84 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $208.93 Typical High $229.09 | Professional | 56 · Pre-op care only | $186.21 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,445.44 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,445.44 | $1,584.89 |
Where Indiana sits
The same service costs 21.4 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· 33rd of 51
$2,512
AK $9,120TX $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.