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 $676.08 Median $3,235.94 Typical High $5,248.07 | Facility | None | $676.08 | $3,235.94 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $5,011.87 Median $5,248.07 Typical High $6,606.93 | Professional | None | $5,011.87 | $5,248.07 | $6,606.93 |
BCBS Louisiana Setting Facility Modifier None Typical Low $13,489.63 Median $15,488.17 Typical High $15,488.17 | Facility | None | $13,489.63 | $15,488.17 | $15,488.17 |
BCBS Louisiana Setting Professional Modifier None Typical Low $5,011.87 Median $6,309.57 Typical High $6,309.57 | Professional | None | $5,011.87 | $6,309.57 | $6,309.57 |
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 $524.81 Median $1,621.81 Typical High $22,387.21 | Facility | None | $524.81 | $1,621.81 | $22,387.21 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $5,248.07 Typical High $6,918.31 | Professional | None | $3,801.89 | $5,248.07 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $7,762.47 Typical High $24,547.09 | Facility | None | $1,621.81 | $7,762.47 | $24,547.09 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $4,365.16 Typical High $7,413.10 | Professional | None | $3,630.78 | $4,365.16 | $7,413.10 |
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 $2,511.89 Median $2,630.27 Typical High $3,311.31 | Professional | 52 · Reduced service | $2,511.89 | $2,630.27 | $3,311.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,047.13 Typical High $1,318.26 | Professional | 53 · Discontinued | $1,000.00 | $1,047.13 | $1,318.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,715.35 Median $3,890.45 Typical High $5,011.87 | Professional | 54 · Surgery only | $3,715.35 | $3,890.45 | $5,011.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $758.58 Median $776.25 Typical High $1,000.00 | Professional | 55 · Aftercare only | $758.58 | $776.25 | $1,000.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $501.19 Median $524.81 Typical High $660.69 | Professional | 56 · Pre-op care only | $501.19 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,467.37 Median $3,630.78 Typical High $4,677.35 | Professional | 78 · Unplanned return to OR | $3,467.37 | $3,630.78 | $4,677.35 |
Where Louisiana sits
The same service costs 20.4 times more in Alaska than in Texas. 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· 25th of 51
$5,248
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.