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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $933.25 | Professional | None | $645.65 | $794.33 | $933.25 |
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 $676.08 Median $741.31 Typical High $851.14 | Professional | None | $676.08 | $741.31 | $851.14 |
Christus Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,995.26 | Facility | None | $501.19 | $831.76 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $912.01 | Professional | None | $501.19 | $645.65 | $912.01 |
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 $537.03 Median $707.95 Typical High $1,071.52 | Professional | None | $537.03 | $707.95 | $1,071.52 |
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 $323.59 Median $398.11 Typical High $457.09 | Professional | 52 · Reduced service | $323.59 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $131.83 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $602.56 Typical High $691.83 | Professional | 54 · Surgery only | $489.78 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $120.23 Typical High $138.04 | Professional | 55 · Aftercare only | $97.72 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $79.43 Typical High $91.20 | Professional | 56 · Pre-op care only | $64.57 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $562.34 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $457.09 | $562.34 | $645.65 |
Where Louisiana sits
The same service costs 4.2 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· 28th of 51
$832
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.