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 $398.11 Median $5,011.87 Typical High $14,125.38 | Facility | None | $398.11 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $562.34 | Professional | None | $398.11 | $398.11 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $524.81 | Professional | None | $380.19 | $524.81 | $524.81 |
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 $354.81 Median $562.34 Typical High $562.34 | Professional | None | $354.81 | $562.34 | $562.34 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $218.78 Median $354.81 Typical High $354.81 | Professional | 62 · Two surgeons | $218.78 | $354.81 | $354.81 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $91.20 Typical High $104.71 | Professional | 80 · Assistant surgeon | $56.23 | $91.20 | $104.71 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $79.43 Typical High $79.43 | Professional | AS · PA/NP assist | $48.98 | $79.43 | $79.43 |
CareSource Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
CareSource Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $851.14 | Facility | None | $407.38 | $588.84 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $794.33 | Professional | None | $389.05 | $446.68 | $794.33 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $1,071.52 Typical High $2,187.76 | Facility | None | $912.01 | $1,071.52 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $776.25 | Professional | None | $436.52 | $562.34 | $776.25 |
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 $354.81 Median $436.52 Typical High $645.65 | Professional | None | $354.81 | $436.52 | $645.65 |
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 $295.12 Median $295.12 Typical High $407.38 | Professional | 54 · Surgery only | $295.12 | $295.12 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $275.42 | $275.42 | $380.19 |
Where Indiana sits
The same service costs 4.4 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· 34th of 51
$479
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.