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 $891.25 Median $2,951.21 Typical High $5,370.32 | Facility | None | $891.25 | $2,951.21 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,318.26 | Professional | None | $933.25 | $977.24 | $1,318.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $10,000.00 | Facility | None | $3,630.78 | $4,265.80 | $10,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | None | $933.25 | $1,202.26 | $1,202.26 |
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 $933.25 Median $1,862.09 Typical High $5,248.07 | Facility | None | $933.25 | $1,862.09 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,288.25 | Professional | None | $707.95 | $977.24 | $1,288.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $7,244.36 | Facility | None | $851.14 | $1,548.82 | $7,244.36 |
United Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,230.27 | Professional | None | $616.60 | $776.25 | $1,230.27 |
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 $467.74 Median $489.78 Typical High $616.60 | Professional | 52 · Reduced service | $467.74 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $194.98 Typical High $245.47 | Professional | 53 · Discontinued | $190.55 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $724.44 Typical High $933.25 | Professional | 54 · Surgery only | $707.95 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $144.54 Typical High $186.21 | Professional | 55 · Aftercare only | $141.25 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $97.72 Typical High $123.03 | Professional | 56 · Pre-op care only | $93.33 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $676.08 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $660.69 | $676.08 | $870.96 |
Where Louisiana sits
The same service costs 17.4 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
$1,122
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.