How much rates vary
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 $218.78 Median $891.25 Typical High $3,467.37 | Facility | None | $218.78 | $891.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $281.84 | Professional | None | $190.55 | $229.09 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $426.58 | Professional | None | $162.18 | $190.55 | $426.58 |
BCBS Louisiana Setting Facility Modifier None Typical Low $128.82 Median $331.13 Typical High $1,000.00 | Facility | None | $128.82 | $331.13 | $1,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $204.17 Median $208.93 Typical High $239.88 | Professional | None | $204.17 | $208.93 | $239.88 |
Christus Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $316.23 Typical High $676.08 | Facility | None | $141.25 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $354.81 | Professional | None | $181.97 | $218.78 | $354.81 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $295.12 | Professional | None | $151.36 | $194.98 | $295.12 |
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 $97.72 Median $109.65 Typical High $131.83 | Professional | 52 · Reduced service | $97.72 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $43.65 Typical High $53.70 | Professional | 53 · Discontinued | $38.90 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $165.96 Typical High $199.53 | Professional | 54 · Surgery only | $144.54 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $33.11 Typical High $39.81 | Professional | 55 · Aftercare only | $29.51 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $21.88 Typical High $26.30 | Professional | 56 · Pre-op care only | $19.50 | $21.88 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $154.88 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $134.90 | $154.88 | $186.21 |
Where Louisiana sits
The same service costs 4.4 times more in Alaska than in Florida. 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.
Louisiana· 27th of 51
$229
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.