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 $239.88 Median $1,174.90 Typical High $3,467.37 | Facility | None | $239.88 | $1,174.90 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $295.12 | Professional | None | $169.82 | $229.09 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $213.80 Typical High $234.42 | Professional | None | $125.89 | $213.80 | $234.42 |
BCBS Louisiana Setting Facility Modifier None Typical Low $83.18 Median $1,380.38 Typical High $4,073.80 | Facility | None | $83.18 | $1,380.38 | $4,073.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $251.19 | Professional | None | $181.97 | $208.93 | $251.19 |
Christus Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $1,318.26 | Facility | None | $331.13 | $630.96 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $263.03 | Professional | None | $138.04 | $181.97 | $263.03 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,467.37 | Facility | None | $446.68 | $954.99 | $3,467.37 |
United Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $309.03 | Professional | None | $144.54 | $199.53 | $309.03 |
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 $87.10 Median $114.82 Typical High $131.83 | Professional | 52 · Reduced service | $87.10 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $45.71 Typical High $52.48 | Professional | 53 · Discontinued | $34.67 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $169.82 Typical High $199.53 | Professional | 54 · Surgery only | $131.83 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $33.88 Typical High $39.81 | Professional | 55 · Aftercare only | $26.30 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $22.91 Typical High $26.30 | Professional | 56 · Pre-op care only | $17.38 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $158.49 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $123.03 | $158.49 | $186.21 |
Where Louisiana sits
The same service costs 4.6 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· 27th 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.