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 $4,365.16 | Facility | None | $724.44 | $2,691.53 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $4,786.30 | Professional | None | $3,630.78 | $3,801.89 | $4,786.30 |
BCBS Louisiana Setting Facility Modifier None Typical Low $6,309.57 Median $10,471.29 Typical High $15,135.61 | Facility | None | $6,309.57 | $10,471.29 | $15,135.61 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3,630.78 Median $4,570.88 Typical High $4,570.88 | Professional | None | $3,630.78 | $4,570.88 | $4,570.88 |
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 $588.84 Median $1,621.81 Typical High $7,413.10 | Facility | None | $588.84 | $1,621.81 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $3,801.89 Typical High $4,897.79 | Professional | None | $2,754.23 | $3,801.89 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $3,090.30 Typical High $5,370.32 | Professional | None | $2,570.40 | $3,090.30 | $5,370.32 |
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 $1,819.70 Median $1,862.09 Typical High $2,398.83 | Professional | 52 · Reduced service | $1,819.70 | $1,862.09 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $758.58 Typical High $954.99 | Professional | 53 · Discontinued | $724.44 | $758.58 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,691.53 Median $2,818.38 Typical High $3,630.78 | Professional | 54 · Surgery only | $2,691.53 | $2,818.38 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $562.34 Typical High $724.44 | Professional | 55 · Aftercare only | $537.03 | $562.34 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $380.19 Typical High $478.63 | Professional | 56 · Pre-op care only | $363.08 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $2,630.27 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $2,511.89 | $2,630.27 | $3,388.44 |
Where Louisiana sits
The same service costs 19.1 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
$3,802
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.