How much rates vary
Facilitymedian $13,490 · 10th to 90th $851 to $30,903Professionalmedian $2,818 · 10th to 90th $1,995 to $3,981
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 $2,089.30 Median $3,467.37 Typical High $5,011.87 | Facility | None | $2,089.30 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,089.30 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $20,892.96 Typical High $32,359.37 | Facility | None | $2,754.23 | $20,892.96 | $32,359.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $3,801.89 | Professional | None | $1,995.26 | $2,818.38 | $3,801.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,778.28 Typical High $2,398.83 | Professional | 62 · Two surgeons | $1,258.93 | $1,778.28 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $457.09 Typical High $645.65 | Professional | 80 · Assistant surgeon | $316.23 | $457.09 | $645.65 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $398.11 Typical High $537.03 | Professional | AS · PA/NP assist | $275.42 | $398.11 | $537.03 |
CareSource Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $2,691.53 | Facility | None | $512.86 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $4,677.35 | Professional | None | $2,089.30 | $2,818.38 | $4,677.35 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $3,019.95 Typical High $6,025.60 | Facility | None | $912.01 | $3,019.95 | $6,025.60 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $4,365.16 | Professional | None | $2,454.71 | $3,311.31 | $4,365.16 |
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 $2,089.30 Median $2,754.23 Typical High $4,265.80 | Professional | None | $2,089.30 | $2,754.23 | $4,265.80 |
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 $1,047.13 Median $1,047.13 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $524.81 | Professional | 53 · Discontinued | $416.87 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,584.89 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,548.82 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,479.11 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,479.11 | $1,819.70 |
Where Indiana sits
The same service costs 14.1 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· 32nd of 51
$2,818
AK $9,772TX $692
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.