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 $380.19 Median $1,023.29 Typical High $14,125.38 | Facility | None | $380.19 | $1,023.29 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $524.81 | Professional | None | $371.54 | $371.54 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $501.19 | Professional | None | $426.58 | $501.19 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $20,417.38 Typical High $30,199.52 | Facility | None | $7,943.28 | $20,417.38 | $30,199.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $524.81 | Professional | None | $331.13 | $524.81 | $524.81 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $208.93 Median $331.13 Typical High $331.13 | Professional | 62 · Two surgeons | $208.93 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $85.11 Typical High $97.72 | Professional | 80 · Assistant surgeon | $52.48 | $85.11 | $97.72 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $74.13 Typical High $74.13 | Professional | AS · PA/NP assist | $46.77 | $74.13 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
CareSource Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $741.31 | Professional | None | $371.54 | $416.87 | $741.31 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,187.76 | Facility | None | $912.01 | $1,000.00 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $724.44 | Professional | None | $407.38 | $537.03 | $724.44 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $10,000.00 Typical High $13,489.63 | Facility | None | $4,365.16 | $10,000.00 | $13,489.63 |
United Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $616.60 | Professional | None | $331.13 | $407.38 | $616.60 |
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 $275.42 Median $275.42 Typical High $380.19 | Professional | 54 · Surgery only | $275.42 | $275.42 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $257.04 | $257.04 | $354.81 |
Where Indiana sits
The same service costs 4.2 times more in Wyoming 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· 34th of 51
$447
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.