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 $741.31 Median $1,862.09 Typical High $3,715.35 | Facility | None | $741.31 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,202.26 | Professional | None | $794.33 | $977.24 | $1,202.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $4,897.79 | Facility | None | $1,000.00 | $1,698.24 | $4,897.79 |
BCBS Louisiana Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,047.13 | Professional | None | $831.76 | $954.99 | $1,047.13 |
Christus Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $954.99 Typical High $1,995.26 | Facility | None | $524.81 | $954.99 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,148.15 | Professional | None | $630.96 | $812.83 | $1,148.15 |
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 $676.08 Median $891.25 Typical High $1,318.26 | Professional | None | $676.08 | $891.25 | $1,318.26 |
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 $407.38 Median $478.63 Typical High $549.54 | Professional | 52 · Reduced service | $407.38 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $190.55 Typical High $223.87 | Professional | 53 · Discontinued | $162.18 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $724.44 Typical High $831.76 | Professional | 54 · Surgery only | $616.60 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | 55 · Aftercare only | $123.03 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $95.50 Typical High $109.65 | Professional | 56 · Pre-op care only | $81.28 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $676.08 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $575.44 | $676.08 | $776.25 |
Where Louisiana sits
The same service costs 4.4 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· 32nd of 51
$955
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.