How much rates vary
Facilitymedian $7,079 · 10th to 90th $1,072 to $15,849Professionalmedian $1,413 · 10th to 90th $1,023 to $2,042
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 $16,595.87 | Facility | None | $1,122.02 | $5,011.87 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,258.93 | Professional | None | $1,023.29 | $1,122.02 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $7,762.47 Typical High $17,378.01 | Facility | None | $1,230.27 | $7,762.47 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,412.54 | $1,862.09 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $2,089.30 Typical High $2,754.23 | Professional | 50 · Both sides | $1,548.82 | $2,089.30 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $645.65 Median $891.25 Typical High $1,174.90 | Professional | 62 · Two surgeons | $645.65 | $891.25 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $223.87 Typical High $309.03 | Professional | 80 · Assistant surgeon | $165.96 | $223.87 | $309.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $194.98 Typical High $257.04 | Professional | AS · PA/NP assist | $144.54 | $194.98 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $6,309.57 Typical High $10,471.29 | Facility | None | $645.65 | $6,309.57 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $7,585.78 | Professional | None | $1,202.26 | $1,445.44 | $7,585.78 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,570.40 Typical High $11,481.54 | Facility | None | $912.01 | $2,570.40 | $11,481.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,698.24 | $2,398.83 |
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 $977.24 Median $1,288.25 Typical High $2,137.96 | Professional | None | $977.24 | $1,288.25 | $2,137.96 |
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 $512.86 Median $562.34 Typical High $616.60 | Professional | 52 · Reduced service | $512.86 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $208.93 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $776.25 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $169.82 Typical High $186.21 | Professional | 55 · Aftercare only | $154.88 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $112.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $102.33 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $794.33 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $724.44 | $794.33 | $870.96 |
Where Indiana sits
The same service costs 8.7 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· 35th of 51
$1,413
AK $5,012TX $575
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.