How much rates vary
Facilitymedian $7,079 · 10th to 90th $676 to $43,652Professionalmedian $2,630 · 10th to 90th $1,738 to $3,981
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 $2,187.76 Median $3,467.37 Typical High $5,011.87 | Facility | None | $2,187.76 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $2,454.71 | Professional | None | $1,995.26 | $2,187.76 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $21,877.62 Typical High $45,708.82 | Facility | None | $1,445.44 | $21,877.62 | $45,708.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $3,019.95 Typical High $4,073.80 | Professional | None | $1,621.81 | $3,019.95 | $4,073.80 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,023.29 Median $1,905.46 Typical High $2,570.40 | Professional | 62 · Two surgeons | $1,023.29 | $1,905.46 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $478.63 Typical High $724.44 | Professional | 80 · Assistant surgeon | $263.03 | $478.63 | $724.44 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $229.09 Median $416.87 Typical High $562.34 | Professional | AS · PA/NP assist | $229.09 | $416.87 | $562.34 |
CareSource Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $2,691.53 | Facility | None | $512.86 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $4,073.80 | Professional | None | $1,949.84 | $2,630.27 | $4,073.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,454.71 Typical High $5,011.87 | Facility | None | $912.01 | $2,454.71 | $5,011.87 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $3,235.94 | Professional | None | $2,041.74 | $2,398.83 | $3,235.94 |
United Setting Facility Modifier None Typical Low $302.00 Median $2,290.87 Typical High $10,232.93 | Facility | None | $302.00 | $2,290.87 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,691.53 Typical High $3,890.45 | Professional | None | $1,862.09 | $2,691.53 | $3,890.45 |
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 $1,000.00 Median $1,096.48 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,000.00 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $436.52 Typical High $489.78 | Professional | 53 · Discontinued | $398.11 | $436.52 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,621.81 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,479.11 | $1,621.81 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $331.13 Typical High $363.08 | Professional | 55 · Aftercare only | $295.12 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $218.78 Typical High $245.47 | Professional | 56 · Pre-op care only | $199.53 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,513.56 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,513.56 | $1,698.24 |
Where Indiana sits
The same service costs 6.0 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· 17th of 51
$3,020
AK $7,762TX $1,288
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.