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 $141.25 Median $190.55 Typical High $263.03 | Professional | None | $141.25 | $190.55 | $263.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $676.08 | Facility | None | $141.25 | $275.42 | $676.08 |
BCBS Louisiana Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $229.09 | Professional | None | $141.25 | $190.55 | $229.09 |
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 $75.86 Median $112.20 Typical High $223.87 | Facility | None | $75.86 | $112.20 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $165.96 Typical High $234.42 | Professional | None | $107.15 | $165.96 | $234.42 |
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 $120.23 Median $177.83 Typical High $269.15 | Professional | None | $120.23 | $177.83 | $269.15 |
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 $70.79 Median $95.50 Typical High $120.23 | Professional | 52 · Reduced service | $70.79 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $38.02 Typical High $47.86 | Professional | 53 · Discontinued | $28.18 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $144.54 Typical High $181.97 | Professional | 54 · Surgery only | $107.15 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $28.84 Typical High $36.31 | Professional | 55 · Aftercare only | $21.38 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $19.05 Typical High $23.99 | Professional | 56 · Pre-op care only | $14.13 | $19.05 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $134.90 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $100.00 | $134.90 | $169.82 |
Where Louisiana sits
The same service costs 3.5 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· 38th of 51
$186
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.