How much rates vary
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 $2,344.23 Median $3,467.37 Typical High $5,011.87 | Facility | None | $2,344.23 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $2,630.27 | Professional | None | $2,137.96 | $2,344.23 | $2,630.27 |
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 $1,778.28 Median $4,570.88 Typical High $6,025.60 | Professional | None | $1,778.28 | $4,570.88 | $6,025.60 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $2,884.03 Typical High $3,890.45 | Professional | 62 · Two surgeons | $1,122.02 | $2,884.03 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $741.31 Typical High $1,047.13 | Professional | 80 · Assistant surgeon | $281.84 | $741.31 | $1,047.13 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $645.65 Typical High $870.96 | Professional | AS · PA/NP assist | $245.47 | $645.65 | $870.96 |
CareSource Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,238.72 Typical High $4,265.80 | Facility | None | $562.34 | $2,238.72 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,691.53 Typical High $5,754.40 | Professional | None | $1,949.84 | $2,691.53 | $5,754.40 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,630.27 Typical High $5,370.32 | Facility | None | $912.01 | $2,630.27 | $5,370.32 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $3,467.37 | Professional | None | $2,187.76 | $2,570.40 | $3,467.37 |
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 $1,949.84 Median $2,818.38 Typical High $4,073.80 | Professional | None | $1,949.84 | $2,818.38 | $4,073.80 |
2 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 54 · Surgery only Typical Low $1,584.89 Median $1,737.80 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,584.89 | $1,737.80 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,621.81 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,621.81 | $1,819.70 |
Where Indiana sits
The same service costs 5.2 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· 12th of 51
$3,631
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.