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 $398.11 Median $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $537.03 | Professional | None | $316.23 | $426.58 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $309.03 Median $1,380.38 Typical High $3,090.30 | Facility | None | $309.03 | $1,380.38 | $3,090.30 |
BCBS Louisiana Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $588.84 | Professional | None | $323.59 | $416.87 | $588.84 |
Christus Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $331.13 Typical High $851.14 | Facility | None | $75.86 | $331.13 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $630.96 | Professional | None | $281.84 | $426.58 | $630.96 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,511.89 | Facility | None | $275.42 | $645.65 | $2,511.89 |
United Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $549.54 | Professional | None | $234.42 | $346.74 | $549.54 |
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 $158.49 Median $218.78 Typical High $269.15 | Professional | 52 · Reduced service | $158.49 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $87.10 Typical High $107.15 | Professional | 53 · Discontinued | $63.10 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $323.59 Typical High $398.11 | Professional | 54 · Surgery only | $234.42 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $64.57 Typical High $81.28 | Professional | 55 · Aftercare only | $46.77 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $43.65 Typical High $53.70 | Professional | 56 · Pre-op care only | $31.62 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $302.00 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $218.78 | $302.00 | $371.54 |
Where Louisiana sits
The same service costs 4.5 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· 22nd of 51
$417
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.