How much rates vary
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 $1,949.84 Median $2,041.74 Typical High $2,570.40 | Professional | None | $1,949.84 | $2,041.74 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $16,982.44 Typical High $38,904.51 | Facility | None | $2,398.83 | $16,982.44 | $38,904.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $3,548.13 | Professional | None | $1,949.84 | $2,691.53 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,659.59 Typical High $2,238.72 | Professional | 62 · Two surgeons | $1,230.27 | $1,659.59 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $426.58 Typical High $575.44 | Professional | 80 · Assistant surgeon | $316.23 | $426.58 | $575.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $371.54 Typical High $489.78 | Professional | AS · PA/NP assist | $275.42 | $371.54 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $13,489.63 Typical High $25,118.86 | Facility | None | $676.08 | $13,489.63 | $25,118.86 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,454.71 Typical High $10,964.78 | Professional | None | $2,137.96 | $2,454.71 | $10,964.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $6,025.60 Typical High $29,512.09 | Facility | None | $954.99 | $6,025.60 | $29,512.09 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,344.23 Median $3,235.94 Typical High $4,466.84 | Professional | None | $2,344.23 | $3,235.94 | $4,466.84 |
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 $1,778.28 Median $2,290.87 Typical High $3,890.45 | Professional | None | $1,778.28 | $2,290.87 | $3,890.45 |
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 $1,479.11 Median $1,548.82 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,479.11 | $1,548.82 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,445.44 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,445.44 | $1,819.70 |
Where Indiana sits
The same service costs 8.1 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
$2,692
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.