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 $489.78 Median $5,011.87 Typical High $7,244.36 | Facility | None | $489.78 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $549.54 | Professional | None | $446.68 | $489.78 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $5,011.87 Typical High $9,549.93 | Facility | None | $630.96 | $5,011.87 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $741.31 | Professional | None | $446.68 | $562.34 | $741.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $660.69 Median $831.76 Typical High $1,096.48 | Professional | 50 · Both sides | $660.69 | $831.76 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $281.84 Median $346.74 Typical High $467.74 | Professional | 62 · Two surgeons | $281.84 | $346.74 | $467.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $70.79 Median $89.13 Typical High $125.89 | Professional | 80 · Assistant surgeon | $70.79 | $89.13 | $125.89 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $77.62 Typical High $102.33 | Professional | AS · PA/NP assist | $61.66 | $77.62 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,905.46 | Facility | None | $537.03 | $537.03 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,445.44 Typical High $2,187.76 | Facility | None | $575.44 | $1,445.44 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $2,454.71 | Professional | None | $501.19 | $575.44 | $2,454.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,995.26 Typical High $2,818.38 | Facility | None | $912.01 | $1,995.26 | $2,818.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,047.13 | Professional | None | $562.34 | $741.31 | $1,047.13 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,949.84 Typical High $4,677.35 | Facility | None | $512.86 | $1,949.84 | $4,677.35 |
United Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $912.01 | Professional | None | $416.87 | $524.81 | $912.01 |
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 $338.84 Median $363.08 Typical High $398.11 | Professional | 54 · Surgery only | $338.84 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $338.84 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $316.23 | $338.84 | $371.54 |
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· 37th of 51
$562
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.