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 $724.44 Median $2,691.53 Typical High $3,890.45 | Facility | None | $724.44 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $3,388.44 Typical High $3,715.35 | Professional | None | $2,951.21 | $3,388.44 | $3,715.35 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,000.00 | $1,698.24 | $4,073.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $3,090.30 | Professional | None | $2,951.21 | $3,019.95 | $3,090.30 |
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 $645.65 Median $1,071.52 Typical High $1,995.26 | Facility | None | $645.65 | $1,071.52 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $3,630.78 | Professional | None | $1,995.26 | $2,570.40 | $3,630.78 |
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 $2,137.96 Median $2,754.23 Typical High $4,168.69 | Professional | None | $2,137.96 | $2,754.23 | $4,168.69 |
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 $1,479.11 Median $1,698.24 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,479.11 | $1,698.24 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $676.08 Typical High $741.31 | Professional | 53 · Discontinued | $588.84 | $676.08 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $2,511.89 Typical High $2,754.23 | Professional | 54 · Surgery only | $2,187.76 | $2,511.89 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $501.19 Typical High $549.54 | Professional | 55 · Aftercare only | $436.52 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $338.84 Typical High $371.54 | Professional | 56 · Pre-op care only | $295.12 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,344.23 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,344.23 | $2,570.40 |
Where Louisiana sits
The same service costs 15.8 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· 30th of 51
$2,754
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.