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 $1,905.46 Median $3,467.37 Typical High $5,011.87 | Facility | None | $1,905.46 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $2,137.96 | Professional | None | $1,737.80 | $1,905.46 | $2,137.96 |
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 $1,445.44 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,445.44 | $2,041.74 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $912.01 Median $1,288.25 Typical High $1,819.70 | Professional | 62 · Two surgeons | $912.01 | $1,288.25 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $323.59 Typical High $489.78 | Professional | 80 · Assistant surgeon | $229.09 | $323.59 | $489.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $204.17 Median $281.84 Typical High $407.38 | Professional | AS · PA/NP assist | $204.17 | $281.84 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,995.26 Typical High $3,548.13 | Facility | None | $562.34 | $1,995.26 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $3,548.13 | Professional | None | $1,621.81 | $2,290.87 | $3,548.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $4,365.16 | Facility | None | $912.01 | $2,290.87 | $4,365.16 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,818.38 | Professional | None | $1,778.28 | $2,089.30 | $2,818.38 |
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 $1,621.81 Median $2,344.23 Typical High $3,388.44 | Professional | None | $1,621.81 | $2,344.23 | $3,388.44 |
1 more rate 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 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,348.96 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,348.96 | $1,479.11 |
Where Indiana sits
The same service costs 5.6 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· 34th of 51
$2,042
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.