How much rates vary
Facilitymedian $6,310 · 10th to 90th $692 to $41,687Professionalmedian $2,818 · 10th to 90th $1,820 to $4,266
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 $2,290.87 Median $3,467.37 Typical High $5,011.87 | Facility | None | $2,290.87 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,290.87 | $2,570.40 |
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 $1,737.80 Median $3,235.94 Typical High $4,365.16 | Professional | None | $1,737.80 | $3,235.94 | $4,365.16 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $2,041.74 Typical High $2,754.23 | Professional | 62 · Two surgeons | $1,096.48 | $2,041.74 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $275.42 Median $524.81 Typical High $776.25 | Professional | 80 · Assistant surgeon | $275.42 | $524.81 | $776.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $239.88 Median $457.09 Typical High $616.60 | Professional | AS · PA/NP assist | $239.88 | $457.09 | $616.60 |
CareSource Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,398.83 Typical High $4,786.30 | Facility | None | $575.44 | $2,398.83 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $4,265.80 | Professional | None | $1,949.84 | $2,818.38 | $4,265.80 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,570.40 Typical High $5,248.07 | Facility | None | $912.01 | $2,570.40 | $5,248.07 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $3,388.44 | Professional | None | $2,137.96 | $2,511.89 | $3,388.44 |
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 $3,981.07 | Professional | None | $1,949.84 | $2,818.38 | $3,981.07 |
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 $1,023.29 Median $1,148.15 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,023.29 | $1,148.15 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $457.09 Typical High $512.86 | Professional | 53 · Discontinued | $416.87 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,698.24 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,548.82 | $1,698.24 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $338.84 Typical High $380.19 | Professional | 55 · Aftercare only | $309.03 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $229.09 Typical High $257.04 | Professional | 56 · Pre-op care only | $208.93 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,584.89 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,584.89 | $1,778.28 |
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· 19th of 51
$3,090
AK $8,128TX $1,549
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.