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 $1,380.38 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,380.38 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,380.38 | $1,548.82 |
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 $1,023.29 Median $2,754.23 Typical High $3,630.78 | Professional | None | $1,023.29 | $2,754.23 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $4,073.80 Typical High $5,495.41 | Professional | 50 · Both sides | $1,513.56 | $4,073.80 | $5,495.41 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $630.96 Median $1,737.80 Typical High $2,290.87 | Professional | 62 · Two surgeons | $630.96 | $1,737.80 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $162.18 Median $436.52 Typical High $616.60 | Professional | 80 · Assistant surgeon | $162.18 | $436.52 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $380.19 Typical High $512.86 | Professional | AS · PA/NP assist | $141.25 | $380.19 | $512.86 |
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 $1,000.00 Median $4,897.79 Typical High $6,918.31 | Facility | None | $1,000.00 | $4,897.79 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,737.80 | $3,019.95 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $954.99 Median $3,235.94 Typical High $8,128.31 | Facility | None | $954.99 | $3,235.94 | $8,128.31 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,258.93 | $1,513.56 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $5,128.61 Typical High $14,454.40 | Facility | None | $1,230.27 | $5,128.61 | $14,454.40 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,148.15 | $1,698.24 | $2,454.71 |
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 $933.25 Median $1,023.29 Typical High $1,148.15 | Professional | 54 · Surgery only | $933.25 | $1,023.29 | $1,148.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $954.99 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $870.96 | $954.99 | $1,071.52 |
Where Indiana sits
The same service costs 5.4 times more in Wisconsin 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· 16th of 51
$2,455
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.