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 $426.58 Median $2,511.89 Typical High $3,890.45 | Facility | None | $426.58 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $549.54 | Professional | None | $380.19 | $467.74 | $549.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $776.25 | Facility | None | $218.78 | $331.13 | $776.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $501.19 | Professional | None | $389.05 | $426.58 | $501.19 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $446.68 Typical High $707.95 | Facility | None | $245.47 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $562.34 | Professional | None | $295.12 | $380.19 | $562.34 |
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 $316.23 Median $426.58 Typical High $645.65 | Professional | None | $316.23 | $426.58 | $645.65 |
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 $190.55 Median $234.42 Typical High $275.42 | Professional | 52 · Reduced service | $190.55 | $234.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $93.33 Typical High $109.65 | Professional | 53 · Discontinued | $75.86 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $354.81 Typical High $407.38 | Professional | 54 · Surgery only | $281.84 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $70.79 Typical High $81.28 | Professional | 55 · Aftercare only | $56.23 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $46.77 Typical High $54.95 | Professional | 56 · Pre-op care only | $38.02 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $331.13 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $263.03 | $331.13 | $380.19 |
Where Louisiana sits
The same service costs 6.0 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· 35th of 51
$427
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.