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 $1,122.02 Median $5,011.87 Typical High $11,220.18 | Facility | None | $1,122.02 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,137.96 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $8,511.38 Typical High $16,595.87 | Facility | None | $1,698.24 | $8,511.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $2,884.03 | Professional | None | $1,778.28 | $2,238.72 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,122.02 Median $1,412.54 Typical High $1,819.70 | Professional | 62 · Two surgeons | $1,122.02 | $1,412.54 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $288.40 Median $354.81 Typical High $467.74 | Professional | 80 · Assistant surgeon | $288.40 | $354.81 | $467.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $309.03 Typical High $398.11 | Professional | AS · PA/NP assist | $251.19 | $309.03 | $398.11 |
CareSource Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
CareSource Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
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 $2,089.30 Median $2,344.23 Typical High $4,365.16 | Professional | None | $2,089.30 | $2,344.23 | $4,365.16 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,818.38 Typical High $5,754.40 | Facility | None | $912.01 | $2,818.38 | $5,754.40 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $3,801.89 | Professional | None | $2,290.87 | $3,019.95 | $3,801.89 |
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 $1,862.09 Median $2,238.72 Typical High $3,467.37 | Professional | None | $1,862.09 | $2,238.72 | $3,467.37 |
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 $1,479.11 Median $1,479.11 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,479.11 | $2,041.74 |
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· 39th of 51
$2,239
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.