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 $912.01 Median $3,467.37 Typical High $5,011.87 | Facility | None | $912.01 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,122.02 | Professional | None | $831.76 | $912.01 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $21,877.62 Typical High $45,708.82 | Facility | None | $1,412.54 | $21,877.62 | $45,708.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $1,348.96 Typical High $1,819.70 | Professional | None | $691.83 | $1,348.96 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $218.78 Typical High $309.03 | Professional | 80 · Assistant surgeon | $109.65 | $218.78 | $309.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $190.55 Typical High $257.04 | Professional | AS · PA/NP assist | $95.50 | $190.55 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
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 $812.83 Median $1,023.29 Typical High $1,819.70 | Professional | None | $812.83 | $1,023.29 | $1,819.70 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $2,187.76 | Facility | None | $912.01 | $2,089.30 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,348.96 | Professional | None | $851.14 | $1,000.00 | $1,348.96 |
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 $812.83 Median $1,318.26 Typical High $2,041.74 | Professional | None | $812.83 | $1,318.26 | $2,041.74 |
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 54 · Surgery only Typical Low $616.60 Median $691.83 Typical High $758.58 | Professional | 54 · Surgery only | $616.60 | $691.83 | $758.58 |
Where Indiana sits
The same service costs 3.7 times more in Alaska than in New York. 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· 16th of 51
$1,349
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.