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 $54.95 Median $2,511.89 Typical High $3,890.45 | Facility | None | $54.95 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $69.18 | Professional | None | $52.48 | $60.26 | $69.18 |
BCBS Louisiana Setting Facility Modifier None Typical Low $28.84 Median $74.13 Typical High $245.47 | Facility | None | $28.84 | $74.13 | $245.47 |
BCBS Louisiana Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $60.26 | Professional | None | $53.70 | $56.23 | $60.26 |
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 $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $67.61 | Professional | None | $40.74 | $51.29 | $67.61 |
United Setting Facility Modifier None Typical Low $79.43 Median $251.19 Typical High $1,202.26 | Facility | None | $79.43 | $251.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $75.86 | Professional | None | $40.74 | $51.29 | $75.86 |
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 $26.30 Median $30.20 Typical High $34.67 | Professional | 52 · Reduced service | $26.30 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $12.02 Typical High $13.80 | Professional | 53 · Discontinued | $10.47 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $44.67 Typical High $52.48 | Professional | 54 · Surgery only | $39.81 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $8.91 Typical High $10.47 | Professional | 55 · Aftercare only | $7.94 | $8.91 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $6.03 Typical High $6.92 | Professional | 56 · Pre-op care only | $5.25 | $6.03 | $6.92 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $37.15 Median $41.69 Typical High $48.98 | Professional | 78 · Unplanned return to OR | $37.15 | $41.69 | $48.98 |
Where Louisiana sits
The same service costs 4.6 times more in Alaska than in New York. 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· 31st of 51
$57.54
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.