How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,122 to $15,136Professionalmedian $1,778 · 10th to 90th $1,318 to $2,630
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 $16,595.87 | Facility | None | $1,380.38 | $5,011.87 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $1,621.81 | Professional | None | $1,348.96 | $1,445.44 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $7,762.47 Typical High $17,378.01 | Facility | None | $1,258.93 | $7,762.47 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,398.83 | Professional | None | $1,318.26 | $1,862.09 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,949.84 Median $2,754.23 Typical High $3,630.78 | Professional | 50 · Both sides | $1,949.84 | $2,754.23 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $1,174.90 Typical High $1,548.82 | Professional | 62 · Two surgeons | $831.76 | $1,174.90 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $295.12 Typical High $407.38 | Professional | 80 · Assistant surgeon | $208.93 | $295.12 | $407.38 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $257.04 Typical High $338.84 | Professional | AS · PA/NP assist | $181.97 | $257.04 | $338.84 |
CareSource Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,370.32 Typical High $10,000.00 | Facility | None | $676.08 | $5,370.32 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $10,232.93 | Professional | None | $1,479.11 | $1,778.28 | $10,232.93 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,235.94 Typical High $11,481.54 | Facility | None | $912.01 | $3,235.94 | $11,481.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $3,090.30 | Professional | None | $1,584.89 | $2,187.76 | $3,090.30 |
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 $1,288.25 Median $1,621.81 Typical High $2,818.38 | Professional | None | $1,288.25 | $1,621.81 | $2,818.38 |
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 $676.08 Median $724.44 Typical High $812.83 | Professional | 52 · Reduced service | $676.08 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $295.12 Typical High $323.59 | Professional | 53 · Discontinued | $269.15 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,096.48 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,000.00 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $218.78 Typical High $245.47 | Professional | 55 · Aftercare only | $199.53 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $144.54 Typical High $162.18 | Professional | 56 · Pre-op care only | $134.90 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,023.29 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $933.25 | $1,023.29 | $1,148.15 |
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· 33rd of 51
$1,862
AK $6,457TX $724
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.