How much rates vary
Facilitymedian $10,471 · 10th to 90th $832 to $22,909Professionalmedian $3,162 · 10th to 90th $2,344 to $5,012
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 $3,388.44 Median $3,388.44 Typical High $4,786.30 | Professional | None | $3,388.44 | $3,388.44 | $4,786.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $15,135.61 Typical High $24,547.09 | Facility | None | $2,041.74 | $15,135.61 | $24,547.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $3,467.37 | Professional | None | $2,344.23 | $2,754.23 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,479.11 Median $1,737.80 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,479.11 | $1,737.80 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $380.19 Median $446.68 Typical High $602.56 | Professional | 80 · Assistant surgeon | $380.19 | $446.68 | $602.56 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $331.13 Median $389.05 Typical High $489.78 | Professional | AS · PA/NP assist | $331.13 | $389.05 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
CareSource Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
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 $2,344.23 Median $3,801.89 Typical High $7,413.10 | Professional | None | $2,344.23 | $3,801.89 | $7,413.10 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $4,570.88 Typical High $9,332.54 | Facility | None | $912.01 | $4,570.88 | $9,332.54 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $3,630.78 Median $4,897.79 Typical High $6,165.95 | Professional | None | $3,630.78 | $4,897.79 | $6,165.95 |
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 $2,884.03 Median $3,715.35 Typical High $5,888.44 | Professional | None | $2,884.03 | $3,715.35 | $5,888.44 |
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 $1,698.24 Median $1,698.24 Typical High $2,398.83 | Professional | 52 · Reduced service | $1,698.24 | $1,698.24 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $676.08 Typical High $954.99 | Professional | 53 · Discontinued | $676.08 | $676.08 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $2,570.40 Typical High $3,548.13 | Professional | 54 · Surgery only | $2,570.40 | $2,570.40 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | 55 · Aftercare only | $512.86 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $338.84 Typical High $478.63 | Professional | 56 · Pre-op care only | $338.84 | $338.84 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $2,398.83 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $2,398.83 | $2,398.83 | $3,311.31 |
Where Indiana sits
The same service costs 21.9 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· 43rd of 51
$3,311
AK $12,303TX $562
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.