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 $562.34 Median $5,011.87 Typical High $11,220.18 | Facility | None | $562.34 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $676.08 | Professional | None | $489.78 | $562.34 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $10,471.29 Typical High $28,840.32 | Facility | None | $1,698.24 | $10,471.29 | $28,840.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $407.38 Typical High $630.96 | Professional | None | $181.97 | $407.38 | $630.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $114.82 Median $257.04 Typical High $398.11 | Professional | 62 · Two surgeons | $114.82 | $257.04 | $398.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.84 Median $66.07 Typical High $100.00 | Professional | 80 · Assistant surgeon | $28.84 | $66.07 | $100.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $57.54 Typical High $89.13 | Professional | AS · PA/NP assist | $25.12 | $57.54 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
CareSource Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $6,760.83 Typical High $10,964.78 | Facility | None | $602.56 | $6,760.83 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $2,344.23 | Professional | None | $537.03 | $630.96 | $2,344.23 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $7,762.47 Typical High $19,054.61 | Facility | None | $912.01 | $7,762.47 | $19,054.61 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,479.11 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,202.26 | $4,570.88 | $12,022.64 |
United Setting Professional Modifier None Typical Low $398.11 Median $954.99 Typical High $1,905.46 | Professional | None | $398.11 | $954.99 | $1,905.46 |
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 $371.54 Median $416.87 Typical High $512.86 | Professional | 54 · Surgery only | $371.54 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $389.05 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $346.74 | $389.05 | $478.63 |
Where Indiana sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 42nd of 51
$550
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.