How much rates vary
Facilitymedian $9,550 · 10th to 90th $1,549 to $30,200Professionalmedian $1,096 · 10th to 90th $759 to $1,585
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 $831.76 Median $5,011.87 Typical High $16,595.87 | Facility | None | $831.76 | $5,011.87 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $954.99 | Professional | None | $758.58 | $831.76 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $15,488.17 Typical High $33,884.42 | Facility | None | $2,398.83 | $15,488.17 | $33,884.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,445.44 | Professional | None | $758.58 | $1,148.15 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $1,737.80 Typical High $2,290.87 | Professional | 50 · Both sides | $1,148.15 | $1,737.80 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $478.63 Median $724.44 Typical High $954.99 | Professional | 62 · Two surgeons | $478.63 | $724.44 | $954.99 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $181.97 Typical High $245.47 | Professional | 80 · Assistant surgeon | $123.03 | $181.97 | $245.47 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $107.15 Median $162.18 Typical High $213.80 | Professional | AS · PA/NP assist | $107.15 | $162.18 | $213.80 |
CareSource Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $6,760.83 Typical High $10,232.93 | Facility | None | $1,000.00 | $6,760.83 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $6,165.95 | Professional | None | $891.25 | $1,148.15 | $6,165.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $11,748.98 | Facility | None | $912.01 | $2,290.87 | $11,748.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,778.28 | Professional | None | $912.01 | $1,258.93 | $1,778.28 |
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 $724.44 Median $954.99 Typical High $1,584.89 | Professional | None | $724.44 | $954.99 | $1,584.89 |
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 $380.19 Median $416.87 Typical High $457.09 | Professional | 52 · Reduced service | $380.19 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $165.96 Typical High $181.97 | Professional | 53 · Discontinued | $151.36 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $616.60 Typical High $691.83 | Professional | 54 · Surgery only | $575.44 | $616.60 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $125.89 Typical High $138.04 | Professional | 55 · Aftercare only | $114.82 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $83.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $75.86 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $575.44 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $537.03 | $575.44 | $645.65 |
Where Indiana sits
The same service costs 13.8 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
$1,148
AK $3,631TX $263
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.