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 $4,365.16 | Facility | None | $724.44 | $2,691.53 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,630.78 | $4,677.35 |
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 $3,548.13 Median $4,570.88 Typical High $4,570.88 | Professional | None | $3,548.13 | $4,570.88 | $4,570.88 |
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 $2,754.23 Median $3,715.35 Typical High $4,897.79 | Professional | None | $2,754.23 | $3,715.35 | $4,897.79 |
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 $2,511.89 Median $3,235.94 Typical High $5,011.87 | Professional | None | $2,511.89 | $3,235.94 | $5,011.87 |
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 $1,737.80 Median $1,819.70 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,737.80 | $1,819.70 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $724.44 Typical High $933.25 | Professional | 53 · Discontinued | $691.83 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $2,754.23 Typical High $3,467.37 | Professional | 54 · Surgery only | $2,630.27 | $2,754.23 | $3,467.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $549.54 Typical High $691.83 | Professional | 55 · Aftercare only | $524.81 | $549.54 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $363.08 Typical High $467.74 | Professional | 56 · Pre-op care only | $346.74 | $363.08 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $2,570.40 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $2,454.71 | $2,570.40 | $3,235.94 |
Where Louisiana sits
The same service costs 20.9 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· 23rd of 51
$3,631
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.