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 $2,238.72 Median $3,467.37 Typical High $5,011.87 | Facility | None | $2,238.72 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $2,511.89 | Professional | None | $2,041.74 | $2,238.72 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $12,022.64 Typical High $28,840.32 | Facility | None | $1,621.81 | $12,022.64 | $28,840.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $4,073.80 Typical High $5,370.32 | Professional | None | $1,698.24 | $4,073.80 | $5,370.32 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,071.52 Median $2,570.40 Typical High $3,467.37 | Professional | 62 · Two surgeons | $1,071.52 | $2,570.40 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $275.42 Median $645.65 Typical High $912.01 | Professional | 80 · Assistant surgeon | $275.42 | $645.65 | $912.01 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $239.88 Median $562.34 Typical High $758.58 | Professional | AS · PA/NP assist | $239.88 | $562.34 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
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 $1,905.46 Median $2,511.89 Typical High $4,466.84 | Professional | None | $1,905.46 | $2,511.89 | $4,466.84 |
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 $2,089.30 Median $2,511.89 Typical High $3,311.31 | Professional | None | $2,089.30 | $2,511.89 | $3,311.31 |
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 $1,905.46 Median $2,691.53 Typical High $3,890.45 | Professional | None | $1,905.46 | $2,691.53 | $3,890.45 |
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 $1,548.82 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 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 5.4 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· 14th of 51
$3,388
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.