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 $676.08 Median $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,148.15 | $1,348.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $5,011.87 | Facility | None | $1,047.13 | $1,380.38 | $5,011.87 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,023.29 | $1,047.13 | $1,047.13 |
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 $524.81 Median $1,047.13 Typical High $2,187.76 | Facility | None | $524.81 | $1,047.13 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,258.93 | Professional | None | $691.83 | $891.25 | $1,258.93 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $5,888.44 | Facility | None | $831.76 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,412.54 | Professional | None | $724.44 | $933.25 | $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 $501.19 Median $575.44 Typical High $630.96 | Professional | 52 · Reduced service | $501.19 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $229.09 Typical High $251.19 | Professional | 53 · Discontinued | $199.53 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $870.96 Typical High $933.25 | Professional | 54 · Surgery only | $758.58 | $870.96 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $173.78 Typical High $186.21 | Professional | 55 · Aftercare only | $151.36 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $114.82 Typical High $125.89 | Professional | 56 · Pre-op care only | $100.00 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $812.83 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $707.95 | $812.83 | $870.96 |
Where Louisiana sits
The same service costs 7.1 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· 25th of 51
$1,122
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.