How much rates vary
Facilitymedian $7,079 · 10th to 90th $794 to $15,488Professionalmedian $1,023 · 10th to 90th $676 to $2,630
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 $2,041.74 Median $3,467.37 Typical High $5,011.87 | Facility | None | $2,041.74 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,884.03 | Professional | None | $2,041.74 | $2,041.74 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $10,000.00 Typical High $16,982.44 | Facility | None | $1,659.59 | $10,000.00 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,047.13 | Professional | None | $676.08 | $794.33 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $426.58 Median $501.19 Typical High $660.69 | Professional | 62 · Two surgeons | $426.58 | $501.19 | $660.69 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $125.89 Typical High $177.83 | Professional | 80 · Assistant surgeon | $107.15 | $125.89 | $177.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $109.65 Typical High $144.54 | Professional | AS · PA/NP assist | $93.33 | $109.65 | $144.54 |
CareSource Setting Facility Modifier None Typical Low $1,995.26 Median $66,069.34 Typical High $79,432.82 | Facility | None | $1,995.26 | $66,069.34 | $79,432.82 |
CareSource Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,318.26 Typical High $3,090.30 | Facility | None | $524.81 | $1,318.26 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $11,220.18 | Professional | None | $1,737.80 | $2,238.72 | $11,220.18 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $3,090.30 | Facility | None | $912.01 | $2,089.30 | $3,090.30 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,621.81 | $1,905.46 |
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 $977.24 Median $2,089.30 Typical High $3,090.30 | Professional | None | $977.24 | $2,089.30 | $3,090.30 |
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 $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $575.44 | Professional | 53 · Discontinued | $407.38 | $407.38 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $426.58 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,995.26 |
Where Indiana sits
The same service costs 9.8 times more in Alaska than in Kentucky. 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· 49th of 51
$1,175
AK $8,511KY $871
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.