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 $2,691.53 Typical High $3,890.45 | Facility | None | $724.44 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,818.38 Typical High $3,548.13 | Professional | None | $2,691.53 | $2,818.38 | $3,548.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,073.80 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,073.80 | $4,570.88 | $4,570.88 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,754.23 Median $3,467.37 Typical High $3,467.37 | Professional | None | $2,754.23 | $3,467.37 | $3,467.37 |
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 $1,621.81 Typical High $6,165.95 | Facility | None | $524.81 | $1,621.81 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,089.30 | $2,818.38 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,090.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,949.84 | $2,454.71 | $3,890.45 |
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 $1,348.96 Median $1,412.54 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,348.96 | $1,412.54 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $562.34 Typical High $707.95 | Professional | 53 · Discontinued | $537.03 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,089.30 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,995.26 | $2,089.30 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $416.87 Typical High $537.03 | Professional | 55 · Aftercare only | $398.11 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $281.84 Typical High $354.81 | Professional | 56 · Pre-op care only | $269.15 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $1,949.84 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,949.84 | $2,511.89 |
Where Louisiana sits
The same service costs 21.9 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· 24th of 51
$2,818
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.