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 $346.74 Median $1,258.93 Typical High $3,467.37 | Facility | None | $346.74 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $354.81 Typical High $407.38 | Professional | None | $288.40 | $354.81 | $407.38 |
BCBS Louisiana Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $724.44 | Facility | None | $218.78 | $331.13 | $724.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $389.05 | Professional | None | $302.00 | $331.13 | $389.05 |
Christus Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $707.95 | Facility | None | $229.09 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $436.52 | Professional | None | $229.09 | $295.12 | $436.52 |
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 $245.47 Median $316.23 Typical High $478.63 | Professional | None | $245.47 | $316.23 | $478.63 |
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 $144.54 Median $177.83 Typical High $204.17 | Professional | 52 · Reduced service | $144.54 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $70.79 Typical High $81.28 | Professional | 53 · Discontinued | $58.88 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $263.03 Typical High $302.00 | Professional | 54 · Surgery only | $218.78 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $52.48 Typical High $60.26 | Professional | 55 · Aftercare only | $43.65 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $35.48 Typical High $40.74 | Professional | 56 · Pre-op care only | $29.51 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $245.47 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $204.17 | $245.47 | $281.84 |
Where Louisiana sits
The same service costs 4.7 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
$331
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.