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 $575.44 Median $1,548.82 Typical High $3,548.13 | Facility | None | $575.44 | $1,548.82 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,089.30 | Professional | None | $1,479.11 | $1,548.82 | $2,089.30 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,570.88 Median $5,495.41 Typical High $11,481.54 | Facility | None | $4,570.88 | $5,495.41 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,445.44 | $1,862.09 | $1,862.09 |
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 $1,071.52 Typical High $4,786.30 | Facility | None | $588.84 | $1,071.52 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,513.56 | $1,995.26 |
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 $1,047.13 Median $1,318.26 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,318.26 | $2,187.76 |
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 $741.31 Median $776.25 Typical High $1,000.00 | Professional | 52 · Reduced service | $741.31 | $776.25 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $309.03 Typical High $398.11 | Professional | 53 · Discontinued | $302.00 | $309.03 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,174.90 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,122.02 | $1,174.90 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $234.42 Typical High $295.12 | Professional | 55 · Aftercare only | $223.87 | $234.42 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $154.88 Typical High $199.53 | Professional | 56 · Pre-op care only | $147.91 | $154.88 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,096.48 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,096.48 | $1,380.38 |
Where Louisiana sits
The same service costs 16.6 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· 16th of 51
$1,862
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.