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 $398.11 Median $1,513.56 Typical High $3,548.13 | Facility | None | $398.11 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $478.63 | Professional | None | $239.88 | $354.81 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $218.78 Median $380.19 Typical High $1,202.26 | Facility | None | $218.78 | $380.19 | $1,202.26 |
BCBS Louisiana Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $426.58 | Professional | None | $239.88 | $354.81 | $426.58 |
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 $245.47 Median $512.86 Typical High $933.25 | Facility | None | $245.47 | $512.86 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $371.54 Typical High $616.60 | Professional | None | $218.78 | $371.54 | $616.60 |
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 $194.98 Median $309.03 Typical High $467.74 | Professional | None | $194.98 | $309.03 | $467.74 |
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 $120.23 Median $162.18 Typical High $223.87 | Professional | 52 · Reduced service | $120.23 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $64.57 Typical High $89.13 | Professional | 53 · Discontinued | $47.86 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $239.88 Typical High $338.84 | Professional | 54 · Surgery only | $181.97 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $47.86 Typical High $67.61 | Professional | 55 · Aftercare only | $36.31 | $47.86 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $32.36 Typical High $44.67 | Professional | 56 · Pre-op care only | $23.99 | $32.36 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $223.87 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $169.82 | $223.87 | $316.23 |
Where Louisiana sits
The same service costs 3.5 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· 29th of 51
$355
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.