How much rates vary
Facilitymedian $12,589 · 10th to 90th $912 to $30,903Professionalmedian $1,698 · 10th to 90th $1,259 to $2,399
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 $1,288.25 Median $3,467.37 Typical High $5,011.87 | Facility | None | $1,288.25 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,288.25 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $20,892.96 Typical High $32,359.37 | Facility | None | $2,691.53 | $20,892.96 | $32,359.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,258.93 | $1,698.24 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $2,511.89 Typical High $3,388.44 | Professional | 50 · Both sides | $1,862.09 | $2,511.89 | $3,388.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $1,071.52 Typical High $1,445.44 | Professional | 62 · Two surgeons | $794.33 | $1,071.52 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $269.15 Typical High $398.11 | Professional | 80 · Assistant surgeon | $199.53 | $269.15 | $398.11 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $234.42 Typical High $316.23 | Professional | AS · PA/NP assist | $173.78 | $234.42 | $316.23 |
CareSource Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,659.59 Typical High $2,818.38 | Facility | None | $562.34 | $1,659.59 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,698.24 | $2,398.83 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $3,801.89 | Facility | None | $912.01 | $2,290.87 | $3,801.89 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,513.56 | $2,041.74 | $2,754.23 |
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 $1,258.93 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,698.24 | $2,630.27 |
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 $645.65 Median $645.65 Typical High $794.33 | Professional | 52 · Reduced service | $645.65 | $645.65 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | 53 · Discontinued | $257.04 | $257.04 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | 54 · Surgery only | $954.99 | $954.99 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $194.98 Typical High $239.88 | Professional | 55 · Aftercare only | $190.55 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $1,122.02 |
Where Indiana sits
The same service costs 7.8 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· 35th of 51
$1,698
AK $5,888TX $759
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.