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 $724.44 Median $2,691.53 Typical High $4,168.69 | Facility | None | $724.44 | $2,691.53 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $3,467.37 Typical High $4,466.84 | Professional | None | $3,311.31 | $3,467.37 | $4,466.84 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,365.16 Median $7,244.36 Typical High $13,489.63 | Facility | None | $4,365.16 | $7,244.36 | $13,489.63 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3,311.31 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,311.31 | $4,265.80 | $4,265.80 |
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 $7,943.28 | Facility | None | $524.81 | $1,621.81 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,467.37 Typical High $4,570.88 | Professional | None | $2,570.40 | $3,467.37 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,890.45 | $12,589.25 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $4,897.79 | Professional | None | $2,398.83 | $2,884.03 | $4,897.79 |
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 $1,659.59 Median $1,737.80 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,659.59 | $1,737.80 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $691.83 Typical High $891.25 | Professional | 53 · Discontinued | $660.69 | $691.83 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $2,630.27 Typical High $3,311.31 | Professional | 54 · Surgery only | $2,511.89 | $2,630.27 | $3,311.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $524.81 Typical High $660.69 | Professional | 55 · Aftercare only | $501.19 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $346.74 Typical High $446.68 | Professional | 56 · Pre-op care only | $331.13 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,344.23 Median $2,454.71 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $2,344.23 | $2,454.71 | $3,090.30 |
Where Louisiana sits
The same service costs 8.7 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· 23rd of 51
$3,467
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.