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 $275.42 Median $1,258.93 Typical High $3,467.37 | Facility | None | $275.42 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $323.59 | Professional | None | $177.83 | $245.47 | $323.59 |
BCBS Louisiana Setting Facility Modifier None Typical Low $173.78 Median $630.96 Typical High $1,905.46 | Facility | None | $173.78 | $630.96 | $1,905.46 |
BCBS Louisiana Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $281.84 | Professional | None | $186.21 | $234.42 | $281.84 |
Christus Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $346.74 Typical High $676.08 | Facility | None | $177.83 | $346.74 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $281.84 | Professional | None | $138.04 | $204.17 | $281.84 |
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 $154.88 Median $218.78 Typical High $346.74 | Professional | None | $154.88 | $218.78 | $346.74 |
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 $91.20 Median $123.03 Typical High $151.36 | Professional | 52 · Reduced service | $91.20 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $48.98 Typical High $60.26 | Professional | 53 · Discontinued | $36.31 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $181.97 Typical High $223.87 | Professional | 54 · Surgery only | $134.90 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $37.15 Typical High $44.67 | Professional | 55 · Aftercare only | $26.92 | $37.15 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $24.55 Typical High $30.20 | Professional | 56 · Pre-op care only | $18.20 | $24.55 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $169.82 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $125.89 | $169.82 | $208.93 |
Where Louisiana sits
The same service costs 3.4 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
$257
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.