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 $416.87 Median $1,288.25 Typical High $3,467.37 | Facility | None | $416.87 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $575.44 | Professional | None | $338.84 | $457.09 | $575.44 |
BCBS Louisiana Setting Facility Modifier None Typical Low $309.03 Median $2,691.53 Typical High $6,760.83 | Facility | None | $309.03 | $2,691.53 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $602.56 | Professional | None | $338.84 | $436.52 | $602.56 |
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 $295.12 Median $588.84 Typical High $1,174.90 | Facility | None | $295.12 | $588.84 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $630.96 | Professional | None | $295.12 | $436.52 | $630.96 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,025.60 | Facility | None | $851.14 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $588.84 | Professional | None | $263.03 | $371.54 | $588.84 |
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 $169.82 Median $229.09 Typical High $288.40 | Professional | 52 · Reduced service | $169.82 | $229.09 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $93.33 Typical High $114.82 | Professional | 53 · Discontinued | $67.61 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $346.74 Typical High $426.58 | Professional | 54 · Surgery only | $251.19 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $69.18 Typical High $85.11 | Professional | 55 · Aftercare only | $50.12 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $45.71 Typical High $57.54 | Professional | 56 · Pre-op care only | $33.88 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $323.59 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $234.42 | $323.59 | $398.11 |
Where Louisiana sits
The same service costs 4.8 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· 24th of 51
$447
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.