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 $724.44 Median $2,570.40 Typical High $3,890.45 | Facility | None | $724.44 | $2,570.40 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,884.03 | Professional | None | $2,041.74 | $2,137.96 | $2,884.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,630.78 Median $4,168.69 Typical High $13,182.57 | Facility | None | $3,630.78 | $4,168.69 | $13,182.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,630.27 | $2,630.27 |
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 $1,174.90 Typical High $6,165.95 | Facility | None | $524.81 | $1,174.90 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $2,818.38 | Professional | None | $1,584.89 | $2,137.96 | $2,818.38 |
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 $1,479.11 Median $1,778.28 Typical High $3,090.30 | Professional | None | $1,479.11 | $1,778.28 | $3,090.30 |
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 $1,023.29 Median $1,071.52 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,023.29 | $1,071.52 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $426.58 Typical High $537.03 | Professional | 53 · Discontinued | $407.38 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,584.89 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,513.56 | $1,584.89 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $316.23 Typical High $407.38 | Professional | 55 · Aftercare only | $302.00 | $316.23 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $213.80 Typical High $269.15 | Professional | 56 · Pre-op care only | $204.17 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,479.11 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,479.11 | $1,905.46 |
Where Louisiana sits
The same service costs 20.4 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· 21st of 51
$2,455
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.