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 $676.08 Median $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $1,513.56 | Professional | None | $1,071.52 | $1,096.48 | $1,513.56 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $11,481.54 | Facility | None | $3,311.31 | $5,011.87 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,071.52 | $1,380.38 | $1,380.38 |
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 $1,071.52 Typical High $4,786.30 | Facility | None | $524.81 | $1,071.52 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,479.11 | Professional | None | $831.76 | $1,122.02 | $1,479.11 |
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 $758.58 Median $933.25 Typical High $1,513.56 | Professional | None | $758.58 | $933.25 | $1,513.56 |
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 $537.03 Median $549.54 Typical High $707.95 | Professional | 52 · Reduced service | $537.03 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $223.87 Typical High $281.84 | Professional | 53 · Discontinued | $213.80 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $831.76 Typical High $1,047.13 | Professional | 54 · Surgery only | $794.33 | $831.76 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $165.96 Typical High $213.80 | Professional | 55 · Aftercare only | $158.49 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $109.65 Typical High $141.25 | Professional | 56 · Pre-op care only | $107.15 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $776.25 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $741.31 | $776.25 | $977.24 |
Where Louisiana sits
The same service costs 20.9 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· 21st of 51
$1,318
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.