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 $154.88 Median $1,122.02 Typical High $3,467.37 | Facility | None | $154.88 | $1,122.02 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $263.03 | Professional | None | $109.65 | $158.49 | $263.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $213.80 Median $630.96 Typical High $2,454.71 | Facility | None | $213.80 | $630.96 | $2,454.71 |
BCBS Louisiana Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $269.15 | Professional | None | $114.82 | $158.49 | $269.15 |
Christus Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $151.36 Typical High $354.81 | Facility | None | $75.86 | $151.36 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $389.05 | Professional | None | $104.71 | $173.78 | $389.05 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,137.96 | Facility | None | $275.42 | $645.65 | $2,137.96 |
United Setting Professional Modifier None Typical Low $89.13 Median $154.88 Typical High $251.19 | Professional | None | $89.13 | $154.88 | $251.19 |
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 $54.95 Median $75.86 Typical High $123.03 | Professional | 52 · Reduced service | $54.95 | $75.86 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $30.20 Typical High $48.98 | Professional | 53 · Discontinued | $21.88 | $30.20 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $112.20 Typical High $186.21 | Professional | 54 · Surgery only | $81.28 | $112.20 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $22.91 Typical High $37.15 | Professional | 55 · Aftercare only | $16.60 | $22.91 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $15.14 Typical High $24.55 | Professional | 56 · Pre-op care only | $10.96 | $15.14 | $24.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $104.71 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $75.86 | $104.71 | $173.78 |
Where Louisiana sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 17th of 51
$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.