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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $245.47 | Professional | None | $131.83 | $177.83 | $245.47 |
BCBS Louisiana Setting Facility Modifier None Typical Low $125.89 Median $338.84 Typical High $512.86 | Facility | None | $125.89 | $338.84 | $512.86 |
BCBS Louisiana Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $213.80 | Professional | None | $134.90 | $177.83 | $213.80 |
Christus Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $218.78 | Professional | None | $100.00 | $154.88 | $218.78 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $251.19 | Professional | None | $112.20 | $165.96 | $251.19 |
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 $66.07 Median $89.13 Typical High $112.20 | Professional | 52 · Reduced service | $66.07 | $89.13 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $35.48 Typical High $44.67 | Professional | 53 · Discontinued | $26.30 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $134.90 Typical High $169.82 | Professional | 54 · Surgery only | $100.00 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $26.92 Typical High $33.88 | Professional | 55 · Aftercare only | $19.95 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $17.78 Typical High $22.39 | Professional | 56 · Pre-op care only | $13.18 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $125.89 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $93.33 | $125.89 | $158.49 |
Where Louisiana sits
The same service costs 3.3 times more in Alaska than in Maryland. 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· 40th of 51
$174
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.