How much rates vary
Facilitymedian $12,882 · 10th to 90th $1,738 to $30,903Professionalmedian $2,951 · 10th to 90th $2,042 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 $11,220.18 | Facility | None | $1,380.38 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,290.87 | $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 $3,162.28 Typical High $3,981.07 | Professional | None | $1,995.26 | $3,162.28 | $3,981.07 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,995.26 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,258.93 | $1,995.26 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $501.19 Typical High $676.08 | Professional | 80 · Assistant surgeon | $323.59 | $501.19 | $676.08 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $446.68 Typical High $562.34 | Professional | AS · PA/NP assist | $281.84 | $446.68 | $562.34 |
CareSource Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $9,772.37 Typical High $19,498.45 | Facility | None | $676.08 | $9,772.37 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $21,877.62 | Professional | None | $2,398.83 | $2,951.21 | $21,877.62 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $6,456.54 Typical High $23,442.29 | Facility | None | $954.99 | $6,456.54 | $23,442.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,398.83 Median $3,388.44 Typical High $4,897.79 | Professional | None | $2,398.83 | $3,388.44 | $4,897.79 |
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 $1,995.26 Median $2,754.23 Typical High $4,570.88 | Professional | None | $1,995.26 | $2,754.23 | $4,570.88 |
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 $1,047.13 Median $1,148.15 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,047.13 | $1,148.15 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $457.09 Typical High $512.86 | Professional | 53 · Discontinued | $416.87 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,698.24 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,584.89 | $1,698.24 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $338.84 Typical High $380.19 | Professional | 55 · Aftercare only | $316.23 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $229.09 Typical High $257.04 | Professional | 56 · Pre-op care only | $208.93 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,584.89 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,584.89 | $1,778.28 |
Where Indiana sits
The same service costs 25.7 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
$3,162
AK $10,000TX $389
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.