How much rates vary
Facilitymedian $13,183 · 10th to 90th $1,738 to $30,903Professionalmedian $2,570 · 10th to 90th $1,778 to $3,890
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 $11,220.18 | Facility | None | $1,380.38 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,819.70 | $1,995.26 | $2,187.76 |
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 $1,737.80 Median $2,884.03 Typical High $3,467.37 | Professional | None | $1,737.80 | $2,884.03 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,819.70 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,096.48 | $1,819.70 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $457.09 Typical High $616.60 | Professional | 80 · Assistant surgeon | $281.84 | $457.09 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $407.38 Typical High $501.19 | Professional | AS · PA/NP assist | $245.47 | $407.38 | $501.19 |
CareSource Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $12,022.64 Typical High $19,952.62 | Facility | None | $645.65 | $12,022.64 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $27,542.29 | Professional | None | $2,137.96 | $2,570.40 | $27,542.29 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $5,623.41 Typical High $23,442.29 | Facility | None | $954.99 | $5,623.41 | $23,442.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $4,265.80 | Professional | None | $2,089.30 | $3,019.95 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $8,912.51 Typical High $16,218.10 | Facility | None | $1,621.81 | $8,912.51 | $16,218.10 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $3,890.45 | Professional | None | $1,737.80 | $2,344.23 | $3,890.45 |
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 $912.01 Median $1,000.00 Typical High $1,096.48 | Professional | 52 · Reduced service | $912.01 | $1,000.00 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $398.11 Typical High $446.68 | Professional | 53 · Discontinued | $363.08 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,479.11 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,380.38 | $1,479.11 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $295.12 Typical High $331.13 | Professional | 55 · Aftercare only | $275.42 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $199.53 Typical High $218.78 | Professional | 56 · Pre-op care only | $181.97 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,380.38 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,380.38 | $1,548.82 |
Where Indiana sits
The same service costs 6.5 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· 31st of 51
$2,754
AK $8,710TX $1,349
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.