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 $181.97 Median $275.42 Typical High $371.54 | Professional | None | $181.97 | $275.42 | $371.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $3,467.37 | Facility | None | $190.55 | $295.12 | $3,467.37 |
BCBS Louisiana Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $323.59 | Professional | None | $204.17 | $269.15 | $323.59 |
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 $75.86 Median $151.36 Typical High $302.00 | Facility | None | $75.86 | $151.36 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $478.63 | Professional | None | $190.55 | $281.84 | $478.63 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,630.78 | Facility | None | $446.68 | $954.99 | $3,630.78 |
United Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $389.05 | Professional | None | $169.82 | $257.04 | $389.05 |
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 $138.04 Typical High $181.97 | Professional | 52 · Reduced service | $91.20 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $54.95 Typical High $74.13 | Professional | 53 · Discontinued | $36.31 | $54.95 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $204.17 Typical High $275.42 | Professional | 54 · Surgery only | $138.04 | $204.17 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $41.69 Typical High $54.95 | Professional | 55 · Aftercare only | $27.54 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $27.54 Typical High $37.15 | Professional | 56 · Pre-op care only | $18.20 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $190.55 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $128.82 | $190.55 | $257.04 |
Where Louisiana sits
The same service costs 3.5 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· 33rd of 51
$282
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.