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 $2,454.71 Median $2,691.53 Typical High $3,019.95 | Professional | None | $2,454.71 | $2,691.53 | $3,019.95 |
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 $1,995.26 Median $2,754.23 Typical High $3,890.45 | Professional | None | $1,995.26 | $2,754.23 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,737.80 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,258.93 | $1,737.80 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $436.52 Typical High $660.69 | Professional | 80 · Assistant surgeon | $323.59 | $436.52 | $660.69 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $389.05 Typical High $562.34 | Professional | AS · PA/NP assist | $281.84 | $389.05 | $562.34 |
CareSource Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
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 $2,290.87 Median $3,162.28 Typical High $4,897.79 | Professional | None | $2,290.87 | $3,162.28 | $4,897.79 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,019.95 Typical High $6,165.95 | Facility | None | $912.01 | $3,019.95 | $6,165.95 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $3,981.07 | Professional | None | $2,454.71 | $2,951.21 | $3,981.07 |
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 $2,290.87 Median $3,235.94 Typical High $4,677.35 | Professional | None | $2,290.87 | $3,235.94 | $4,677.35 |
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 $1,698.24 Median $1,862.09 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,862.09 | $2,089.30 |
Where Indiana sits
The same service costs 5.8 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· 36th of 51
$2,754
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.