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 $169.82 Median $1,513.56 Typical High $3,548.13 | Facility | None | $169.82 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $208.93 | Professional | None | $114.82 | $158.49 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $162.18 | Professional | None | $81.28 | $91.20 | $162.18 |
BCBS Louisiana Setting Facility Modifier None Typical Low $112.20 Median $630.96 Typical High $1,905.46 | Facility | None | $112.20 | $630.96 | $1,905.46 |
BCBS Louisiana Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $177.83 | Professional | None | $120.23 | $147.91 | $177.83 |
Christus Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $316.23 Typical High $676.08 | Facility | None | $117.49 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $181.97 | Professional | None | $89.13 | $128.82 | $181.97 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,137.96 | Facility | None | $275.42 | $630.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $218.78 | Professional | None | $97.72 | $138.04 | $218.78 |
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 $58.88 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $58.88 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $31.62 Typical High $38.02 | Professional | 53 · Discontinued | $23.44 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $117.49 Typical High $141.25 | Professional | 54 · Surgery only | $87.10 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $23.99 Typical High $28.18 | Professional | 55 · Aftercare only | $17.38 | $23.99 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $15.85 Typical High $18.62 | Professional | 56 · Pre-op care only | $11.75 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $112.20 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $81.28 | $112.20 | $131.83 |
Where Louisiana sits
The same service costs 3.5 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
$162
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.