How much rates vary
Facilitymedian $12,589 · 10th to 90th $912 to $30,903Professionalmedian $2,570 · 10th to 90th $1,862 to $3,631
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 $1,949.84 Median $3,467.37 Typical High $5,011.87 | Facility | None | $1,949.84 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,454.71 | Professional | None | $1,949.84 | $1,949.84 | $2,454.71 |
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 $1,862.09 Median $2,570.40 Typical High $3,467.37 | Professional | None | $1,862.09 | $2,570.40 | $3,467.37 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,621.81 Typical High $2,187.76 | Professional | 62 · Two surgeons | $1,174.90 | $1,621.81 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $407.38 Typical High $588.84 | Professional | 80 · Assistant surgeon | $295.12 | $407.38 | $588.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $363.08 Typical High $489.78 | Professional | AS · PA/NP assist | $257.04 | $363.08 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,290.87 Typical High $4,365.16 | Facility | None | $562.34 | $2,290.87 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $3,715.35 | Professional | None | $1,949.84 | $2,570.40 | $3,715.35 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,818.38 Typical High $5,623.41 | Facility | None | $912.01 | $2,818.38 | $5,623.41 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,290.87 Median $3,019.95 Typical High $4,073.80 | Professional | None | $2,290.87 | $3,019.95 | $4,073.80 |
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 $1,949.84 Median $2,570.40 Typical High $3,981.07 | Professional | None | $1,949.84 | $2,570.40 | $3,981.07 |
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 $977.24 Median $977.24 Typical High $1,202.26 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $489.78 | Professional | 53 · Discontinued | $389.05 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $363.08 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,698.24 |
Where Indiana sits
The same service costs 13.5 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· 33rd of 51
$2,570
AK $8,913TX $661
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.