How much rates vary
Facilitymedian $5,495 · 10th to 90th $692 to $21,878Professionalmedian $1,660 · 10th to 90th $1,096 to $2,344
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 $1,412.54 Median $3,467.37 Typical High $5,011.87 | Facility | None | $1,412.54 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,412.54 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $11,481.54 Typical High $23,988.33 | Facility | None | $1,479.11 | $11,481.54 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,096.48 | $1,737.80 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $2,630.27 Typical High $3,548.13 | Professional | 50 · Both sides | $1,659.59 | $2,630.27 | $3,548.13 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $1,096.48 Typical High $1,479.11 | Professional | 62 · Two surgeons | $691.83 | $1,096.48 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $281.84 Typical High $416.87 | Professional | 80 · Assistant surgeon | $173.78 | $281.84 | $416.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $154.88 Median $245.47 Typical High $331.13 | Professional | AS · PA/NP assist | $154.88 | $245.47 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,412.54 Typical High $2,691.53 | Facility | None | $562.34 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,513.56 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $3,311.31 | Facility | None | $912.01 | $2,290.87 | $3,311.31 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,584.89 | $2,137.96 |
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 $1,174.90 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,659.59 | $2,398.83 |
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 $630.96 Median $707.95 Typical High $794.33 | Professional | 52 · Reduced service | $630.96 | $707.95 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $281.84 Typical High $316.23 | Professional | 53 · Discontinued | $251.19 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,047.13 Typical High $1,174.90 | Professional | 54 · Surgery only | $954.99 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $208.93 Typical High $234.42 | Professional | 55 · Aftercare only | $190.55 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $141.25 Typical High $158.49 | Professional | 56 · Pre-op care only | $125.89 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $977.24 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $891.25 | $977.24 | $1,096.48 |
Where Indiana sits
The same service costs 4.8 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· 29th of 51
$1,738
AK $5,012TX $1,047
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.