How much rates vary
Facilitymedian $6,607 · 10th to 90th $1,122 to $19,498Professionalmedian $1,698 · 10th to 90th $1,202 to $2,455
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 $1,318.26 Median $5,011.87 Typical High $11,220.18 | Facility | None | $1,318.26 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,445.44 | Professional | None | $1,258.93 | $1,318.26 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $10,964.78 Typical High $22,908.68 | Facility | None | $1,122.02 | $10,964.78 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,819.70 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $741.31 Median $1,122.02 Typical High $1,479.11 | Professional | 62 · Two surgeons | $741.31 | $1,122.02 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $288.40 Typical High $389.05 | Professional | 80 · Assistant surgeon | $190.55 | $288.40 | $389.05 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $251.19 Typical High $331.13 | Professional | AS · PA/NP assist | $165.96 | $251.19 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $6,456.54 | Facility | None | $1,445.44 | $1,445.44 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $4,786.30 Typical High $8,709.64 | Facility | None | $645.65 | $4,786.30 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $7,762.47 | Professional | None | $1,258.93 | $1,698.24 | $7,762.47 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,445.44 Median $6,606.93 Typical High $10,471.29 | Facility | None | $1,445.44 | $6,606.93 | $10,471.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,412.54 Median $1,949.84 Typical High $2,630.27 | Professional | None | $1,412.54 | $1,949.84 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,202.26 | $4,570.88 | $12,022.64 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,548.82 | $2,511.89 |
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 $630.96 Median $660.69 Typical High $724.44 | Professional | 52 · Reduced service | $630.96 | $660.69 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $263.03 Typical High $288.40 | Professional | 53 · Discontinued | $251.19 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $977.24 Typical High $1,096.48 | Professional | 54 · Surgery only | $933.25 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $199.53 Typical High $218.78 | Professional | 55 · Aftercare only | $186.21 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $131.83 Typical High $144.54 | Professional | 56 · Pre-op care only | $125.89 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $912.01 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $870.96 | $912.01 | $1,023.29 |
Where Indiana sits
The same service costs 24.5 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· 32nd of 51
$1,820
AK $5,754TX $234
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.