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 $288.40 Median $977.24 Typical High $3,467.37 | Facility | None | $288.40 | $977.24 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $389.05 | Professional | None | $213.80 | $288.40 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $194.98 | Professional | None | $144.54 | $144.54 | $194.98 |
BCBS Louisiana Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $1,047.13 | Facility | None | $218.78 | $331.13 | $1,047.13 |
BCBS Louisiana Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $346.74 | Professional | None | $218.78 | $288.40 | $346.74 |
Christus Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $151.36 Typical High $331.13 | Facility | None | $75.86 | $151.36 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $309.03 Typical High $512.86 | Professional | None | $199.53 | $309.03 | $512.86 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $407.38 | Professional | None | $177.83 | $263.03 | $407.38 |
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 $107.15 Median $144.54 Typical High $177.83 | Professional | 52 · Reduced service | $107.15 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $57.54 Typical High $72.44 | Professional | 53 · Discontinued | $42.66 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $218.78 Typical High $269.15 | Professional | 54 · Surgery only | $162.18 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $43.65 Typical High $53.70 | Professional | 55 · Aftercare only | $32.36 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $28.84 Typical High $36.31 | Professional | 56 · Pre-op care only | $21.38 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $204.17 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $151.36 | $204.17 | $251.19 |
Where Louisiana sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 37th 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.