How much rates vary
Facilitymedian $9,333 · 10th to 90th $891 to $21,878Professionalmedian $2,089 · 10th to 90th $1,445 to $2,884
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 $1,513.56 Median $3,467.37 Typical High $5,011.87 | Facility | None | $1,513.56 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $14,454.40 Typical High $22,908.68 | Facility | None | $2,041.74 | $14,454.40 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $2,884.03 | Professional | None | $1,380.38 | $2,137.96 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $870.96 Median $1,348.96 Typical High $1,819.70 | Professional | 62 · Two surgeons | $870.96 | $1,348.96 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $218.78 Median $346.74 Typical High $489.78 | Professional | 80 · Assistant surgeon | $218.78 | $346.74 | $489.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $302.00 Typical High $407.38 | Professional | AS · PA/NP assist | $190.55 | $302.00 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,905.46 Typical High $3,388.44 | Facility | None | $562.34 | $1,905.46 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,548.82 | $1,995.26 | $3,090.30 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $4,365.16 | Facility | None | $912.01 | $2,290.87 | $4,365.16 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $3,019.95 | Professional | None | $1,698.24 | $2,454.71 | $3,019.95 |
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 $1,513.56 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,513.56 | $1,949.84 | $3,090.30 |
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 $758.58 Median $758.58 Typical High $1,023.29 | Professional | 52 · Reduced service | $758.58 | $758.58 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $407.38 | Professional | 53 · Discontinued | $302.00 | $302.00 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,148.15 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,148.15 | $1,148.15 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $204.17 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,071.52 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,071.52 | $1,412.54 |
Where Indiana sits
The same service costs 6.8 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· 26th of 51
$2,138
AK $6,607TX $977
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.