How much rates vary
Facilitymedian $5,754 · 10th to 90th $851 to $19,055Professionalmedian $1,622 · 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 $7,244.36 | Facility | None | $1,380.38 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,621.81 | $1,698.24 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $10,964.78 Typical High $22,908.68 | Facility | None | $794.33 | $10,964.78 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,548.82 | $2,137.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $831.76 Median $977.24 Typical High $1,380.38 | Professional | 62 · Two surgeons | $831.76 | $977.24 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $245.47 Typical High $380.19 | Professional | 80 · Assistant surgeon | $208.93 | $245.47 | $380.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $213.80 Typical High $309.03 | Professional | AS · PA/NP assist | $181.97 | $213.80 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $6,025.60 | Facility | None | $1,698.24 | $1,698.24 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,467.37 Typical High $6,456.54 | Facility | None | $562.34 | $3,467.37 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,548.82 | $1,862.09 | $2,818.38 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $2,089.30 Median $6,165.95 Typical High $8,511.38 | Facility | None | $2,089.30 | $6,165.95 | $8,511.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $3,235.94 | Professional | None | $1,778.28 | $2,238.72 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,202.26 | $4,570.88 | $12,022.64 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $2,951.21 | Professional | None | $1,513.56 | $1,905.46 | $2,951.21 |
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 $812.83 Median $851.14 Typical High $977.24 | Professional | 52 · Reduced service | $812.83 | $851.14 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $338.84 Typical High $389.05 | Professional | 53 · Discontinued | $323.59 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,288.25 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,230.27 | $1,288.25 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $257.04 Typical High $295.12 | Professional | 55 · Aftercare only | $245.47 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $169.82 Typical High $194.98 | Professional | 56 · Pre-op care only | $162.18 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,202.26 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,202.26 | $1,380.38 |
Where Indiana sits
The same service costs 7.1 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· 43rd of 51
$1,820
AK $7,079TX $1,000
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.