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 $512.86 Median $1,513.56 Typical High $3,548.13 | Facility | None | $512.86 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $954.99 | Professional | None | $446.68 | $660.69 | $954.99 |
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 $446.68 Median $645.65 Typical High $954.99 | Professional | None | $446.68 | $645.65 | $954.99 |
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 $501.19 Median $831.76 Typical High $4,786.30 | Facility | None | $501.19 | $831.76 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $1,023.29 | Professional | None | $398.11 | $616.60 | $1,023.29 |
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 $346.74 Median $616.60 Typical High $1,047.13 | Professional | None | $346.74 | $616.60 | $1,047.13 |
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 $223.87 Median $316.23 Typical High $478.63 | Professional | 52 · Reduced service | $223.87 | $316.23 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $125.89 Typical High $194.98 | Professional | 53 · Discontinued | $89.13 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $467.74 Typical High $724.44 | Professional | 54 · Surgery only | $338.84 | $467.74 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $93.33 Typical High $144.54 | Professional | 55 · Aftercare only | $67.61 | $93.33 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $63.10 Typical High $95.50 | Professional | 56 · Pre-op care only | $44.67 | $63.10 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $436.52 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $316.23 | $436.52 | $676.08 |
Where Louisiana sits
The same service costs 4.9 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· 18th of 51
$741
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.