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 $2,344.23 Median $2,570.40 Typical High $2,884.03 | Professional | None | $2,344.23 | $2,570.40 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $10,964.78 Typical High $22,387.21 | Facility | None | $2,041.74 | $10,964.78 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $4,897.79 Typical High $6,456.54 | Professional | None | $1,905.46 | $4,897.79 | $6,456.54 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $3,090.30 Typical High $4,168.69 | Professional | 62 · Two surgeons | $1,202.26 | $3,090.30 | $4,168.69 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $794.33 Typical High $1,122.02 | Professional | 80 · Assistant surgeon | $302.00 | $794.33 | $1,122.02 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $691.83 Typical High $933.25 | Professional | AS · PA/NP assist | $269.15 | $691.83 | $933.25 |
CareSource Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,344.23 Typical High $4,897.79 | Facility | None | $562.34 | $2,344.23 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $6,165.95 | Professional | None | $2,089.30 | $3,019.95 | $6,165.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,884.03 Typical High $5,888.44 | Facility | None | $912.01 | $2,884.03 | $5,888.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $3,801.89 | Professional | None | $2,344.23 | $2,818.38 | $3,801.89 |
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 $2,187.76 Median $3,162.28 Typical High $4,677.35 | Professional | None | $2,187.76 | $3,162.28 | $4,677.35 |
2 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 54 · Surgery only Typical Low $1,778.28 Median $1,949.84 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,778.28 | $1,949.84 | $2,187.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,819.70 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,819.70 | $2,041.74 |
Where Indiana sits
The same service costs 6.5 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· 11th of 51
$4,169
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.