How much rates vary
Facilitymedian $9,120 · 10th to 90th $1,698 to $30,200Professionalmedian $2,754 · 10th to 90th $1,995 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 $1,380.38 Median $5,011.87 Typical High $16,595.87 | Facility | None | $1,380.38 | $5,011.87 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $2,570.40 | Professional | None | $2,041.74 | $2,187.76 | $2,570.40 |
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 $1,995.26 Median $3,235.94 Typical High $3,981.07 | Professional | None | $1,995.26 | $3,235.94 | $3,981.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $2,041.74 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,258.93 | $2,041.74 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $512.86 Typical High $691.83 | Professional | 80 · Assistant surgeon | $316.23 | $512.86 | $691.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $446.68 Typical High $549.54 | Professional | AS · PA/NP assist | $275.42 | $446.68 | $549.54 |
CareSource Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $4,786.30 Typical High $7,943.28 | Facility | None | $645.65 | $4,786.30 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $10,964.78 | Professional | None | $2,290.87 | $2,691.53 | $10,964.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $6,025.60 Typical High $9,332.54 | Facility | None | $954.99 | $6,025.60 | $9,332.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,398.83 Median $3,311.31 Typical High $4,677.35 | Professional | None | $2,398.83 | $3,311.31 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $5,248.07 Typical High $14,454.40 | Facility | None | $1,258.93 | $5,248.07 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $4,168.69 | Professional | None | $1,905.46 | $2,511.89 | $4,168.69 |
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 $1,513.56 Median $1,621.81 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,513.56 | $1,621.81 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,513.56 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,513.56 | $1,778.28 |
Where Indiana sits
The same service costs 4.0 times more in Alaska 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
AK $19,545KY $4,915
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.