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 $3,467.37 | Facility | None | $398.11 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $501.19 | Professional | None | $263.03 | $354.81 | $501.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $831.76 | Facility | None | $218.78 | $263.03 | $831.76 |
BCBS Louisiana Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $426.58 | Professional | None | $263.03 | $363.08 | $426.58 |
Christus Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
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 $239.88 Median $380.19 Typical High $630.96 | Professional | None | $239.88 | $380.19 | $630.96 |
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 $223.87 Median $338.84 Typical High $501.19 | Professional | None | $223.87 | $338.84 | $501.19 |
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 $131.83 Median $177.83 Typical High $229.09 | Professional | 52 · Reduced service | $131.83 | $177.83 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $70.79 Typical High $91.20 | Professional | 53 · Discontinued | $52.48 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $263.03 Typical High $346.74 | Professional | 54 · Surgery only | $199.53 | $263.03 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $52.48 Typical High $69.18 | Professional | 55 · Aftercare only | $39.81 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $35.48 Typical High $45.71 | Professional | 56 · Pre-op care only | $26.30 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $245.47 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $186.21 | $245.47 | $323.59 |
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· 37th of 51
$347
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.