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 $851.14 Median $1,047.13 Typical High $1,348.96 | Professional | None | $851.14 | $1,047.13 | $1,348.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $257.04 Median $1,698.24 Typical High $4,073.80 | Facility | None | $257.04 | $1,698.24 | $4,073.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,122.02 | Professional | None | $891.25 | $1,023.29 | $1,122.02 |
Christus Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $676.08 Median $870.96 Typical High $1,230.27 | Professional | None | $676.08 | $870.96 | $1,230.27 |
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 $724.44 Median $954.99 Typical High $1,412.54 | Professional | None | $724.44 | $954.99 | $1,412.54 |
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 $436.52 Median $512.86 Typical High $588.84 | Professional | 52 · Reduced service | $436.52 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $208.93 Typical High $239.88 | Professional | 53 · Discontinued | $173.78 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $776.25 Typical High $891.25 | Professional | 54 · Surgery only | $660.69 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $154.88 Typical High $177.83 | Professional | 55 · Aftercare only | $131.83 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $102.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $87.10 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $724.44 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $616.60 | $724.44 | $831.76 |
Where Louisiana sits
The same service costs 4.5 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· 30th of 51
$1,023
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.