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 $263.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $263.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $316.23 | Professional | None | $177.83 | $251.19 | $316.23 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
BCBS Louisiana Setting Facility Modifier None Typical Low $173.78 Median $707.95 Typical High $2,951.21 | Facility | None | $173.78 | $707.95 | $2,951.21 |
BCBS Louisiana Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $338.84 | Professional | None | $186.21 | $239.88 | $338.84 |
Christus Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $346.74 Typical High $676.08 | Facility | None | $173.78 | $346.74 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $363.08 | Professional | None | $162.18 | $251.19 | $363.08 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,511.89 | Facility | None | $275.42 | $630.96 | $2,511.89 |
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $323.59 | Professional | None | $134.90 | $194.98 | $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 $89.13 Median $125.89 Typical High $154.88 | Professional | 52 · Reduced service | $89.13 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $50.12 Typical High $63.10 | Professional | 53 · Discontinued | $36.31 | $50.12 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $190.55 Typical High $234.42 | Professional | 54 · Surgery only | $134.90 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $38.02 Typical High $46.77 | Professional | 55 · Aftercare only | $26.92 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $25.12 Typical High $31.62 | Professional | 56 · Pre-op care only | $17.78 | $25.12 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $177.83 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $125.89 | $177.83 | $218.78 |
Where Louisiana sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 22nd of 51
$251
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.