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 $389.05 Median $1,513.56 Typical High $3,467.37 | Facility | None | $389.05 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $398.11 | Professional | None | $223.87 | $309.03 | $398.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $138.04 Median $630.96 Typical High $1,905.46 | Facility | None | $138.04 | $630.96 | $1,905.46 |
BCBS Louisiana Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $346.74 | Professional | None | $234.42 | $288.40 | $346.74 |
Christus Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $616.60 Typical High $933.25 | Facility | None | $416.87 | $616.60 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $354.81 | Professional | None | $173.78 | $251.19 | $354.81 |
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 $181.97 Median $269.15 Typical High $416.87 | Professional | None | $181.97 | $269.15 | $416.87 |
7 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 $114.82 Median $154.88 Typical High $186.21 | Professional | 52 · Reduced service | $114.82 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $61.66 Typical High $74.13 | Professional | 53 · Discontinued | $45.71 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $229.09 Typical High $281.84 | Professional | 54 · Surgery only | $173.78 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $46.77 Typical High $56.23 | Professional | 55 · Aftercare only | $34.67 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $30.90 Typical High $37.15 | Professional | 56 · Pre-op care only | $22.91 | $30.90 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $213.80 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $162.18 | $213.80 | $263.03 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 51 · Multiple procedures | $144.54 | $144.54 | $144.54 |
Where Louisiana sits
The same service costs 3.6 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
$324
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.