How much rates vary
Facilitymedian $12,589 · 10th to 90th $912 to $30,903Professionalmedian $2,754 · 10th to 90th $1,862 to $3,715
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 $2,398.83 | Professional | None | $1,949.84 | $1,949.84 | $2,398.83 |
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 $1,862.09 Median $2,754.23 Typical High $3,630.78 | Professional | None | $1,862.09 | $2,754.23 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,698.24 Typical High $2,290.87 | Professional | 62 · Two surgeons | $1,174.90 | $1,698.24 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $436.52 Typical High $616.60 | Professional | 80 · Assistant surgeon | $295.12 | $436.52 | $616.60 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $380.19 Typical High $512.86 | Professional | AS · PA/NP assist | $257.04 | $380.19 | $512.86 |
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 $575.44 Median $2,290.87 Typical High $4,466.84 | Facility | None | $575.44 | $2,290.87 | $4,466.84 |
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 $3,090.30 Typical High $4,073.80 | Professional | None | $2,290.87 | $3,090.30 | $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 $1,905.46 Median $2,570.40 Typical High $3,981.07 | Professional | None | $1,905.46 | $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 $954.99 Median $977.24 Typical High $1,202.26 | Professional | 52 · Reduced service | $954.99 | $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 $239.88 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $239.88 |
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 7.2 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
$2,754
AK $8,913TX $1,230
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.