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 $407.38 Median $1,862.09 Typical High $3,715.35 | Facility | None | $407.38 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $512.86 | Professional | None | $269.15 | $354.81 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $1,318.26 | Facility | None | $346.74 | $389.05 | $1,318.26 |
BCBS Louisiana Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $436.52 | Professional | None | $269.15 | $371.54 | $436.52 |
Christus Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,096.48 | Facility | None | $446.68 | $691.83 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $645.65 | Professional | None | $245.47 | $380.19 | $645.65 |
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 $229.09 Median $346.74 Typical High $512.86 | Professional | None | $229.09 | $346.74 | $512.86 |
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 $134.90 Median $177.83 Typical High $234.42 | Professional | 52 · Reduced service | $134.90 | $177.83 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $70.79 Typical High $93.33 | Professional | 53 · Discontinued | $53.70 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $269.15 Typical High $354.81 | Professional | 54 · Surgery only | $199.53 | $269.15 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $53.70 Typical High $70.79 | Professional | 55 · Aftercare only | $39.81 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $35.48 Typical High $46.77 | Professional | 56 · Pre-op care only | $26.92 | $35.48 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $251.19 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $186.21 | $251.19 | $331.13 |
Where Louisiana sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 31st of 51
$380
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.