How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,288 to $28,840Professionalmedian $1,288 · 10th to 90th $977 to $2,138
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 $1,122.02 Median $5,011.87 Typical High $11,220.18 | Facility | None | $1,122.02 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,348.96 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $15,488.17 Typical High $33,884.42 | Facility | None | $2,137.96 | $15,488.17 | $33,884.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,513.56 | Professional | None | $977.24 | $1,148.15 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,479.11 Median $1,737.80 Typical High $2,344.23 | Professional | 50 · Both sides | $1,479.11 | $1,737.80 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $616.60 Median $724.44 Typical High $977.24 | Professional | 62 · Two surgeons | $616.60 | $724.44 | $977.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $186.21 Typical High $263.03 | Professional | 80 · Assistant surgeon | $158.49 | $186.21 | $263.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $138.04 Median $162.18 Typical High $218.78 | Professional | AS · PA/NP assist | $138.04 | $162.18 | $218.78 |
CareSource Setting Facility Modifier None Typical Low $933.25 Median $1,412.54 Typical High $1,513.56 | Facility | None | $933.25 | $1,412.54 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,715.35 Typical High $7,762.47 | Facility | None | $645.65 | $3,715.35 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $6,760.83 | Professional | None | $1,202.26 | $1,513.56 | $6,760.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,715.35 Typical High $10,471.29 | Facility | None | $912.01 | $3,715.35 | $10,471.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,380.38 | $2,041.74 | $2,884.03 |
United Setting Facility Modifier None Typical Low $870.96 Median $4,168.69 Typical High $9,120.11 | Facility | None | $870.96 | $4,168.69 | $9,120.11 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,445.44 Typical High $2,570.40 | Professional | None | $977.24 | $1,445.44 | $2,570.40 |
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 $616.60 Median $676.08 Typical High $758.58 | Professional | 52 · Reduced service | $616.60 | $676.08 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $269.15 Typical High $302.00 | Professional | 53 · Discontinued | $251.19 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,023.29 Typical High $1,122.02 | Professional | 54 · Surgery only | $933.25 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $204.17 Typical High $223.87 | Professional | 55 · Aftercare only | $186.21 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $134.90 Typical High $151.36 | Professional | 56 · Pre-op care only | $125.89 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $954.99 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $870.96 | $954.99 | $1,047.13 |
Where Indiana sits
The same service costs 8.9 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· 43rd of 51
$1,349
AK $6,026TX $676
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.