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 $977.24 Median $1,122.02 Typical High $1,318.26 | Professional | None | $977.24 | $1,122.02 | $1,318.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,000.00 Median $1,698.24 Typical High $4,897.79 | Facility | None | $1,000.00 | $1,698.24 | $4,897.79 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,000.00 | $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 $954.99 Typical High $1,995.26 | Facility | None | $524.81 | $954.99 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,230.27 | Professional | None | $676.08 | $891.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,754.40 | Facility | None | $851.14 | $1,548.82 | $5,754.40 |
United Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,380.38 | Professional | None | $724.44 | $912.01 | $1,380.38 |
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 $489.78 Median $562.34 Typical High $616.60 | Professional | 52 · Reduced service | $489.78 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $223.87 Typical High $245.47 | Professional | 53 · Discontinued | $194.98 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $831.76 Typical High $912.01 | Professional | 54 · Surgery only | $724.44 | $831.76 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $169.82 Typical High $181.97 | Professional | 55 · Aftercare only | $144.54 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $112.20 Typical High $123.03 | Professional | 56 · Pre-op care only | $97.72 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $776.25 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $676.08 | $776.25 | $851.14 |
Where Louisiana sits
The same service costs 7.6 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
$1,047
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.