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 $295.12 Median $1,288.25 Typical High $3,467.37 | Facility | None | $295.12 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $346.74 | Professional | None | $239.88 | $295.12 | $346.74 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
BCBS Louisiana Setting Facility Modifier None Typical Low $81.28 Median $1,174.90 Typical High $2,884.03 | Facility | None | $81.28 | $1,174.90 | $2,884.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $316.23 | Professional | None | $245.47 | $269.15 | $316.23 |
Christus Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $186.21 Median $245.47 Typical High $363.08 | Professional | None | $186.21 | $245.47 | $363.08 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,511.89 | Facility | None | $275.42 | $645.65 | $2,511.89 |
United Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $398.11 | Professional | None | $204.17 | $263.03 | $398.11 |
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 $123.03 Median $147.91 Typical High $169.82 | Professional | 52 · Reduced service | $123.03 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $58.88 Typical High $67.61 | Professional | 53 · Discontinued | $48.98 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $223.87 Typical High $257.04 | Professional | 54 · Surgery only | $181.97 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $44.67 Typical High $51.29 | Professional | 55 · Aftercare only | $36.31 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $29.51 Typical High $33.88 | Professional | 56 · Pre-op care only | $24.55 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $208.93 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $169.82 | $208.93 | $239.88 |
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· 28th of 51
$302
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.