How much rates vary
Facilitymedian $11,482 · 10th to 90th $1,175 to $39,811Professionalmedian $1,349 · 10th to 90th $1,072 to $2,089
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 $1,174.90 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,174.90 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,174.90 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $20,892.96 Typical High $45,708.82 | Facility | None | $1,380.38 | $20,892.96 | $45,708.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,348.96 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,621.81 Median $2,041.74 Typical High $2,754.23 | Professional | 50 · Both sides | $1,621.81 | $2,041.74 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $676.08 Median $851.14 Typical High $1,148.15 | Professional | 62 · Two surgeons | $676.08 | $851.14 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $218.78 Typical High $309.03 | Professional | 80 · Assistant surgeon | $173.78 | $218.78 | $309.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $190.55 Typical High $257.04 | Professional | AS · PA/NP assist | $151.36 | $190.55 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $19,498.45 | Facility | None | $1,288.25 | $1,288.25 | $19,498.45 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $12,302.69 Typical High $20,892.96 | Facility | None | $776.25 | $12,302.69 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $7,079.46 | Professional | None | $1,230.27 | $1,479.11 | $7,079.46 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $13,803.84 Typical High $23,988.33 | Facility | None | $912.01 | $13,803.84 | $23,988.33 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,737.80 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,128.61 Typical High $14,454.40 | Facility | None | $1,230.27 | $5,128.61 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $2,238.72 | Professional | None | $1,000.00 | $1,318.26 | $2,238.72 |
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 $537.03 Median $588.84 Typical High $645.65 | Professional | 52 · Reduced service | $537.03 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $234.42 Typical High $257.04 | Professional | 53 · Discontinued | $213.80 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $870.96 Typical High $977.24 | Professional | 54 · Surgery only | $812.83 | $870.96 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $173.78 Typical High $194.98 | Professional | 55 · Aftercare only | $162.18 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $117.49 Typical High $128.82 | Professional | 56 · Pre-op care only | $107.15 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $812.83 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $758.58 | $812.83 | $912.01 |
Where Indiana sits
The same service costs 7.6 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· 39th of 51
$1,349
AK $5,129TX $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.