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 $389.05 Median $1,513.56 Typical High $3,548.13 | Facility | None | $389.05 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $302.00 | Professional | None | $165.96 | $229.09 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
BCBS Louisiana Setting Facility Modifier None Typical Low $154.88 Median $331.13 Typical High $776.25 | Facility | None | $154.88 | $331.13 | $776.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $263.03 | Professional | None | $165.96 | $218.78 | $263.03 |
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 $158.49 Median $338.84 Typical High $676.08 | Facility | None | $158.49 | $338.84 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $263.03 | Professional | None | $125.89 | $190.55 | $263.03 |
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 $141.25 Median $204.17 Typical High $323.59 | Professional | None | $141.25 | $204.17 | $323.59 |
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 $83.18 Median $112.20 Typical High $138.04 | Professional | 52 · Reduced service | $83.18 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $44.67 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $169.82 Typical High $208.93 | Professional | 54 · Surgery only | $125.89 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $33.88 Typical High $41.69 | Professional | 55 · Aftercare only | $25.12 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $22.39 Typical High $27.54 | Professional | 56 · Pre-op care only | $16.98 | $22.39 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $158.49 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $117.49 | $158.49 | $194.98 |
Where Louisiana sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 36th of 51
$219
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.