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 $323.59 Median $5,011.87 Typical High $5,623.41 | Facility | None | $323.59 | $5,011.87 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | None | $323.59 | $323.59 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,754.23 Typical High $9,120.11 | Facility | None | $1,047.13 | $2,754.23 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $389.05 | Professional | None | $257.04 | $302.00 | $389.05 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $162.18 Median $190.55 Typical High $245.47 | Professional | 62 · Two surgeons | $162.18 | $190.55 | $245.47 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $40.74 Median $47.86 Typical High $64.57 | Professional | 80 · Assistant surgeon | $40.74 | $47.86 | $64.57 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $36.31 Median $42.66 Typical High $53.70 | Professional | AS · PA/NP assist | $36.31 | $42.66 | $53.70 |
CareSource Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $2,041.74 | Facility | None | $338.84 | $338.84 | $2,041.74 |
CareSource Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $1,380.38 Typical High $2,398.83 | Facility | None | $371.54 | $1,380.38 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $630.96 | Professional | None | $302.00 | $338.84 | $630.96 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,187.76 Typical High $3,388.44 | Facility | None | $912.01 | $2,187.76 | $3,388.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $588.84 | Professional | None | $363.08 | $467.74 | $588.84 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,949.84 Typical High $4,677.35 | Facility | None | $512.86 | $1,949.84 | $4,677.35 |
United Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $512.86 | Professional | None | $275.42 | $338.84 | $512.86 |
1 more rate 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 78 · Unplanned return to OR Typical Low $223.87 Median $223.87 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $223.87 | $223.87 | $309.03 |
Where Indiana sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 45th of 51
$324
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.