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 $446.68 Median $2,511.89 Typical High $3,890.45 | Facility | None | $446.68 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $645.65 | Professional | None | $426.58 | $549.54 | $645.65 |
BCBS Louisiana Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $1,071.52 | Facility | None | $323.59 | $389.05 | $1,071.52 |
BCBS Louisiana Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $588.84 | Professional | None | $446.68 | $501.19 | $588.84 |
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 $75.86 Median $251.19 Typical High $549.54 | Facility | None | $75.86 | $251.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $645.65 | Professional | None | $338.84 | $436.52 | $645.65 |
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 $354.81 Median $489.78 Typical High $741.31 | Professional | None | $354.81 | $489.78 | $741.31 |
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 $213.80 Median $275.42 Typical High $316.23 | Professional | 52 · Reduced service | $213.80 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $109.65 Typical High $128.82 | Professional | 53 · Discontinued | $87.10 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $407.38 Typical High $478.63 | Professional | 54 · Surgery only | $323.59 | $407.38 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $83.18 Typical High $95.50 | Professional | 55 · Aftercare only | $64.57 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $54.95 Typical High $64.57 | Professional | 56 · Pre-op care only | $43.65 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $380.19 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $302.00 | $380.19 | $446.68 |
Where Louisiana sits
The same service costs 5.1 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· 39th of 51
$479
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.