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 $147.91 Median $199.53 Typical High $263.03 | Professional | None | $147.91 | $199.53 | $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 $151.36 Median $194.98 Typical High $234.42 | Professional | None | $151.36 | $194.98 | $234.42 |
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 $218.78 | Facility | None | $75.86 | $112.20 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $234.42 | Professional | None | $112.20 | $169.82 | $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 $125.89 Median $181.97 Typical High $288.40 | Professional | None | $125.89 | $181.97 | $288.40 |
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 $74.13 Median $100.00 Typical High $123.03 | Professional | 52 · Reduced service | $74.13 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $39.81 Typical High $48.98 | Professional | 53 · Discontinued | $30.20 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $151.36 Typical High $186.21 | Professional | 54 · Surgery only | $112.20 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $30.20 Typical High $37.15 | Professional | 55 · Aftercare only | $22.39 | $30.20 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $19.95 Typical High $24.55 | Professional | 56 · Pre-op care only | $15.14 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $141.25 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $104.71 | $141.25 | $173.78 |
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· 40th of 51
$191
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.