How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,380 to $14,125Professionalmedian $617 · 10th to 90th $525 to $891
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 $588.84 Median $5,011.87 Typical High $14,125.38 | Facility | None | $588.84 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $831.76 | Professional | None | $588.84 | $588.84 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $7,413.10 Typical High $17,378.01 | Facility | None | $1,819.70 | $7,413.10 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $707.95 | Professional | None | $489.78 | $616.60 | $707.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $912.01 Typical High $1,071.52 | Professional | 50 · Both sides | $741.31 | $912.01 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $309.03 Median $389.05 Typical High $446.68 | Professional | 62 · Two surgeons | $309.03 | $389.05 | $446.68 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $97.72 Typical High $128.82 | Professional | 80 · Assistant surgeon | $79.43 | $97.72 | $128.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $85.11 Typical High $100.00 | Professional | AS · PA/NP assist | $69.18 | $85.11 | $100.00 |
CareSource Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $3,467.37 | Facility | None | $630.96 | $630.96 | $3,467.37 |
CareSource Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $5,248.07 | Facility | None | $1,513.56 | $2,691.53 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $1,174.90 | Professional | None | $562.34 | $645.65 | $1,174.90 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,584.89 Median $3,630.78 Typical High $5,754.40 | Facility | None | $1,584.89 | $3,630.78 | $5,754.40 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,023.29 | Professional | None | $660.69 | $851.14 | $1,023.29 |
United Setting Facility Modifier None Typical Low $870.96 Median $4,168.69 Typical High $9,120.11 | Facility | None | $870.96 | $4,168.69 | $9,120.11 |
United Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $954.99 | Professional | None | $512.86 | $630.96 | $954.99 |
6 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 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | 52 · Reduced service | $295.12 | $295.12 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | 53 · Discontinued | $117.49 | $117.49 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $602.56 | Professional | 54 · Surgery only | $436.52 | $436.52 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $120.23 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $81.28 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $562.34 |
Where Indiana sits
The same service costs 5.9 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· 41st of 51
$617
AK $2,455TX $417
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.