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 $269.15 Median $1,258.93 Typical High $3,467.37 | Facility | None | $269.15 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $302.00 | Professional | None | $186.21 | $234.42 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $177.83 Typical High $213.80 | Professional | None | $89.13 | $177.83 | $213.80 |
BCBS Louisiana Setting Facility Modifier None Typical Low $147.91 Median $1,174.90 Typical High $2,818.38 | Facility | None | $147.91 | $1,174.90 | $2,818.38 |
BCBS Louisiana Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $257.04 | Professional | None | $194.98 | $213.80 | $257.04 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $338.84 Typical High $676.08 | Facility | None | $158.49 | $338.84 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $288.40 | Professional | None | $147.91 | $190.55 | $288.40 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,511.89 | Facility | None | $275.42 | $630.96 | $2,511.89 |
United Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $316.23 | Professional | None | $158.49 | $208.93 | $316.23 |
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 $95.50 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $95.50 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $38.02 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $173.78 Typical High $204.17 | Professional | 54 · Surgery only | $141.25 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $34.67 Typical High $40.74 | Professional | 55 · Aftercare only | $28.18 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $23.44 Typical High $26.92 | Professional | 56 · Pre-op care only | $19.05 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $162.18 Typical High $190.55 | Professional | 78 · Unplanned return to OR | $131.83 | $162.18 | $190.55 |
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· 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.