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 $1,905.46 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,905.46 | $1,995.26 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $16,982.44 Typical High $34,673.69 | Facility | None | $2,398.83 | $16,982.44 | $34,673.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,737.80 | $2,187.76 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,380.38 Typical High $1,862.09 | Professional | 62 · Two surgeons | $1,096.48 | $1,380.38 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $346.74 Typical High $501.19 | Professional | 80 · Assistant surgeon | $281.84 | $346.74 | $501.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $309.03 Typical High $416.87 | Professional | AS · PA/NP assist | $245.47 | $309.03 | $416.87 |
CareSource Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,265.80 Typical High $7,762.47 | Facility | None | $676.08 | $4,265.80 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $10,715.19 | Professional | None | $1,862.09 | $2,344.23 | $10,715.19 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $5,888.44 Typical High $17,782.79 | Facility | None | $912.01 | $5,888.44 | $17,782.79 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $4,365.16 | Professional | None | $2,344.23 | $3,162.28 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $5,128.61 Typical High $14,454.40 | Facility | None | $1,258.93 | $5,128.61 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $3,801.89 | Professional | None | $1,737.80 | $2,238.72 | $3,801.89 |
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 $1,445.44 Median $1,513.56 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,445.44 | $1,513.56 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,412.54 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,412.54 | $1,737.80 |
Where Indiana sits
The same service costs 9.1 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· 42nd of 51
$2,188
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.