How much rates vary
Facilitymedian $12,589 · 10th to 90th $912 to $30,903Professionalmedian $2,884 · 10th to 90th $1,950 to $3,890
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 $2,041.74 Median $3,467.37 Typical High $5,011.87 | Facility | None | $2,041.74 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,570.40 | Professional | None | $2,041.74 | $2,041.74 | $2,570.40 |
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 $1,949.84 Median $2,884.03 Typical High $3,890.45 | Professional | None | $1,949.84 | $2,884.03 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,230.27 Median $1,819.70 Typical High $2,454.71 | Professional | 62 · Two surgeons | $1,230.27 | $1,819.70 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $457.09 Typical High $645.65 | Professional | 80 · Assistant surgeon | $309.03 | $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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,290.87 Typical High $4,570.88 | Facility | None | $562.34 | $2,290.87 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $3,890.45 | Professional | None | $2,041.74 | $2,691.53 | $3,890.45 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $2,951.21 Typical High $5,888.44 | Facility | None | $912.01 | $2,951.21 | $5,888.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $2,398.83 Median $3,235.94 Typical High $4,265.80 | Professional | None | $2,398.83 | $3,235.94 | $4,265.80 |
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 $2,041.74 Median $2,691.53 Typical High $4,168.69 | Professional | None | $2,041.74 | $2,691.53 | $4,168.69 |
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 $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $512.86 | Professional | 53 · Discontinued | $407.38 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $380.19 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $257.04 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,778.28 |
Where Indiana sits
The same service costs 7.6 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· 27th of 51
$2,884
AK $9,550TX $1,259
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.