How much rates vary
Facilitymedian $8,128 · 10th to 90th $1,072 to $19,498Professionalmedian $1,479 · 10th to 90th $1,047 to $2,138
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 $1,174.90 Median $5,011.87 Typical High $11,220.18 | Facility | None | $1,174.90 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,288.25 | Professional | None | $1,122.02 | $1,174.90 | $1,288.25 |
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 $1,047.13 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,047.13 | $1,513.56 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $660.69 Median $954.99 Typical High $1,258.93 | Professional | 62 · Two surgeons | $660.69 | $954.99 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $165.96 Median $239.88 Typical High $323.59 | Professional | 80 · Assistant surgeon | $165.96 | $239.88 | $323.59 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $213.80 Typical High $281.84 | Professional | AS · PA/NP assist | $147.91 | $213.80 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $6,456.54 | Facility | None | $1,288.25 | $1,288.25 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $6,760.83 Typical High $11,481.54 | Facility | None | $630.96 | $6,760.83 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $7,244.36 | Professional | None | $1,174.90 | $1,513.56 | $7,244.36 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,445.44 Median $7,413.10 Typical High $11,748.98 | Facility | None | $1,445.44 | $7,413.10 | $11,748.98 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,258.93 | $1,737.80 | $2,290.87 |
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 $1,023.29 Median $1,348.96 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,348.96 | $2,238.72 |
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 $549.54 Median $588.84 Typical High $645.65 | Professional | 52 · Reduced service | $549.54 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $234.42 Typical High $257.04 | Professional | 53 · Discontinued | $223.87 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $870.96 Typical High $954.99 | Professional | 54 · Surgery only | $831.76 | $870.96 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $173.78 Typical High $190.55 | Professional | 55 · Aftercare only | $165.96 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $117.49 Typical High $128.82 | Professional | 56 · Pre-op care only | $112.20 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $812.83 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $776.25 | $812.83 | $891.25 |
Where Indiana sits
The same service costs 7.4 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· 35th of 51
$1,514
AK $5,129TX $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.