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 $575.44 Median $1,513.56 Typical High $3,467.37 | Facility | None | $575.44 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,288.25 | Professional | None | $891.25 | $1,047.13 | $1,288.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $218.78 Median $1,698.24 Typical High $4,073.80 | Facility | None | $218.78 | $1,698.24 | $4,073.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,122.02 | Professional | None | $933.25 | $1,023.29 | $1,122.02 |
Christus Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
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 $691.83 Median $870.96 Typical High $1,258.93 | Professional | None | $691.83 | $870.96 | $1,258.93 |
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 $707.95 Median $933.25 Typical High $1,380.38 | Professional | None | $707.95 | $933.25 | $1,380.38 |
7 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 $446.68 Median $524.81 Typical High $616.60 | Professional | 52 · Reduced service | $446.68 | $524.81 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $208.93 Typical High $245.47 | Professional | 53 · Discontinued | $181.97 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $776.25 Typical High $912.01 | Professional | 54 · Surgery only | $676.08 | $776.25 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $154.88 Typical High $181.97 | Professional | 55 · Aftercare only | $134.90 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $104.71 Typical High $123.03 | Professional | 56 · Pre-op care only | $89.13 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $724.44 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $630.96 | $724.44 | $851.14 |
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 58 · Staged procedure | $758.58 | $758.58 | $758.58 |
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· 37th 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.