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 $630.96 Median $2,187.76 Typical High $3,890.45 | Facility | None | $630.96 | $2,187.76 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,047.13 | Professional | None | $630.96 | $851.14 | $1,047.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $4,073.80 | Facility | None | $151.36 | $213.80 | $4,073.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,071.52 | Professional | None | $616.60 | $794.33 | $1,071.52 |
Christus Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $524.81 Typical High $1,174.90 | Facility | None | $141.25 | $524.81 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $1,174.90 | Professional | None | $537.03 | $812.83 | $1,174.90 |
United Setting Facility Modifier None Typical Low $91.20 Median $354.81 Typical High $1,202.26 | Facility | None | $91.20 | $354.81 | $1,202.26 |
United Setting Professional Modifier None Typical Low $489.78 Median $724.44 Typical High $1,096.48 | Professional | None | $489.78 | $724.44 | $1,096.48 |
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 $316.23 Median $426.58 Typical High $524.81 | Professional | 52 · Reduced service | $316.23 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $169.82 Typical High $213.80 | Professional | 53 · Discontinued | $125.89 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $630.96 Typical High $794.33 | Professional | 54 · Surgery only | $467.74 | $630.96 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $125.89 Typical High $158.49 | Professional | 55 · Aftercare only | $95.50 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $85.11 Typical High $104.71 | Professional | 56 · Pre-op care only | $63.10 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $588.84 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $436.52 | $588.84 | $741.31 |
Where Louisiana sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 25th of 51
$776
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.