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 $208.93 Median $1,174.90 Typical High $3,467.37 | Facility | None | $208.93 | $1,174.90 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $263.03 | Professional | None | $165.96 | $208.93 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $213.80 | Professional | None | $107.15 | $151.36 | $213.80 |
BCBS Louisiana Setting Facility Modifier None Typical Low $134.90 Median $1,412.54 Typical High $4,073.80 | Facility | None | $134.90 | $1,412.54 | $4,073.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $229.09 | Professional | None | $173.78 | $190.55 | $229.09 |
Christus Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $316.23 Typical High $676.08 | Facility | None | $144.54 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $251.19 | Professional | None | $131.83 | $169.82 | $251.19 |
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 $138.04 Median $186.21 Typical High $281.84 | Professional | None | $138.04 | $186.21 | $281.84 |
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 $83.18 Median $104.71 Typical High $120.23 | Professional | 52 · Reduced service | $83.18 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $41.69 Typical High $48.98 | Professional | 53 · Discontinued | $33.11 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $158.49 Typical High $181.97 | Professional | 54 · Surgery only | $125.89 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $31.62 Typical High $36.31 | Professional | 55 · Aftercare only | $25.12 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $20.89 Typical High $23.99 | Professional | 56 · Pre-op care only | $16.60 | $20.89 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $147.91 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $117.49 | $147.91 | $169.82 |
Where Louisiana sits
The same service costs 4.0 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
$214
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.