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 $112.20 Median $5,011.87 Typical High $5,623.41 | Facility | None | $112.20 | $5,011.87 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | None | $112.20 | $112.20 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $933.25 Typical High $1,819.70 | Facility | None | $165.96 | $933.25 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $165.96 Typical High $181.97 | Professional | None | $95.50 | $165.96 | $181.97 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $60.26 Median $104.71 Typical High $114.82 | Professional | 62 · Two surgeons | $60.26 | $104.71 | $114.82 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.14 Median $26.92 Typical High $33.11 | Professional | 80 · Assistant surgeon | $15.14 | $26.92 | $33.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $23.44 Typical High $25.70 | Professional | AS · PA/NP assist | $13.18 | $23.44 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $120.23 Median $831.76 Typical High $1,230.27 | Facility | None | $120.23 | $831.76 | $1,230.27 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $2,691.53 | Facility | None | $489.78 | $616.60 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $229.09 | Professional | None | $112.20 | $131.83 | $229.09 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $288.40 Median $912.01 Typical High $2,187.76 | Facility | None | $288.40 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $208.93 | Professional | None | $117.49 | $158.49 | $208.93 |
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 $102.33 Median $128.82 Typical High $190.55 | Professional | None | $102.33 | $128.82 | $190.55 |
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 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | 54 · Surgery only | $83.18 | $83.18 | $117.49 |
Where Indiana sits
The same service costs 4.9 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· 30th of 51
$141
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.