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 $3,548.13 | Facility | None | $389.05 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $407.38 | Professional | None | $239.88 | $323.59 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $194.98 Median $1,122.02 Typical High $2,754.23 | Facility | None | $194.98 | $1,122.02 | $2,754.23 |
BCBS Louisiana Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $354.81 | Professional | None | $251.19 | $295.12 | $354.81 |
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 $208.93 Median $346.74 Typical High $676.08 | Facility | None | $208.93 | $346.74 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $371.54 | Professional | None | $186.21 | $257.04 | $371.54 |
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 $204.17 Median $281.84 Typical High $436.52 | Professional | None | $204.17 | $281.84 | $436.52 |
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 $162.18 Typical High $190.55 | Professional | 52 · Reduced service | $123.03 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $48.98 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $245.47 Typical High $281.84 | Professional | 54 · Surgery only | $186.21 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $48.98 Typical High $56.23 | Professional | 55 · Aftercare only | $37.15 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $32.36 Typical High $38.02 | Professional | 56 · Pre-op care only | $24.55 | $32.36 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $229.09 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $173.78 | $229.09 | $263.03 |
Where Louisiana sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$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.