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 $194.98 Median $1,174.90 Typical High $3,467.37 | Facility | None | $194.98 | $1,174.90 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $245.47 | Professional | None | $151.36 | $194.98 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $223.87 | Professional | None | $67.61 | $97.72 | $223.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $134.90 Median $630.96 Typical High $1,905.46 | Facility | None | $134.90 | $630.96 | $1,905.46 |
BCBS Louisiana Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $213.80 | Professional | None | $162.18 | $177.83 | $213.80 |
Christus Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
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 $120.23 Median $154.88 Typical High $239.88 | Professional | None | $120.23 | $154.88 | $239.88 |
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 $128.82 Median $173.78 Typical High $263.03 | Professional | None | $128.82 | $173.78 | $263.03 |
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 $77.62 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $77.62 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.90 Typical High $44.67 | Professional | 53 · Discontinued | $30.90 | $38.90 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $144.54 Typical High $169.82 | Professional | 54 · Surgery only | $114.82 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $28.84 Typical High $33.88 | Professional | 55 · Aftercare only | $22.91 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $19.50 Typical High $22.39 | Professional | 56 · Pre-op care only | $15.49 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $134.90 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $107.15 | $134.90 | $158.49 |
Where Louisiana sits
The same service costs 3.9 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· 38th of 51
$186
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.