How much rates vary
Facilitymedian $7,943 · 10th to 90th $832 to $19,055Professionalmedian $1,349 · 10th to 90th $1,000 to $2,089
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 $1,230.27 Median $3,467.37 Typical High $5,011.87 | Facility | None | $1,230.27 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,230.27 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $10,964.78 Typical High $22,387.21 | Facility | None | $1,862.09 | $10,964.78 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,348.96 Typical High $1,819.70 | Professional | None | $912.01 | $1,348.96 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,995.26 Typical High $2,754.23 | Professional | 50 · Both sides | $1,380.38 | $1,995.26 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $575.44 Median $851.14 Typical High $1,148.15 | Professional | 62 · Two surgeons | $575.44 | $851.14 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $213.80 Typical High $323.59 | Professional | 80 · Assistant surgeon | $147.91 | $213.80 | $323.59 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $186.21 Typical High $257.04 | Professional | AS · PA/NP assist | $128.82 | $186.21 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $1,096.48 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,096.48 | $1,584.89 | $2,454.71 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $2,818.38 | Facility | None | $912.01 | $2,290.87 | $2,818.38 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,348.96 | $1,819.70 |
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 $1,096.48 Median $1,548.82 Typical High $2,238.72 | Professional | None | $1,096.48 | $1,548.82 | $2,238.72 |
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 $562.34 Median $616.60 Typical High $691.83 | Professional | 52 · Reduced service | $562.34 | $616.60 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $245.47 Typical High $281.84 | Professional | 53 · Discontinued | $223.87 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $933.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $851.14 | $933.25 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $186.21 Typical High $208.93 | Professional | 55 · Aftercare only | $169.82 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $123.03 Typical High $138.04 | Professional | 56 · Pre-op care only | $112.20 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $870.96 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $794.33 | $870.96 | $977.24 |
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· 33rd of 51
$1,514
AK $4,467TX $933
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.