How much rates vary
Facilitymedian $7,079 · 10th to 90th $794 to $15,488Professionalmedian $2,570 · 10th to 90th $1,585 to $3,890
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 $2,691.53 Median $2,691.53 Typical High $3,715.35 | Professional | None | $2,691.53 | $2,691.53 | $3,715.35 |
Ambetter Setting Professional Modifier 80 · Assistant surgeon Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 80 · Assistant surgeon | $489.78 | $489.78 | $489.78 |
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 $1,380.38 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,380.38 | $1,621.81 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $870.96 Median $1,023.29 Typical High $1,479.11 | Professional | 62 · Two surgeons | $870.96 | $1,023.29 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $263.03 Typical High $398.11 | Professional | 80 · Assistant surgeon | $223.87 | $263.03 | $398.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $194.98 Median $229.09 Typical High $323.59 | Professional | AS · PA/NP assist | $194.98 | $229.09 | $323.59 |
CareSource Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
CareSource Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
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 $2,691.53 Median $3,019.95 Typical High $5,370.32 | Professional | None | $2,691.53 | $3,019.95 | $5,370.32 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,548.13 Typical High $7,413.10 | Facility | None | $912.01 | $3,548.13 | $7,413.10 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,884.03 Median $3,890.45 Typical High $4,786.30 | Professional | None | $2,884.03 | $3,890.45 | $4,786.30 |
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 $2,398.83 Median $2,951.21 Typical High $4,466.84 | Professional | None | $2,398.83 | $2,951.21 | $4,466.84 |
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 $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | 54 · Surgery only | $2,041.74 | $2,041.74 | $2,754.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,905.46 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,905.46 | $2,570.40 |
Where Indiana sits
The same service costs 6.5 times more in Alaska than in Washington. 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.
Physician feeFacility fee
AK $21,355WA $3,262
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.