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 $2,884.03 Median $3,019.95 Typical High $3,890.45 | Professional | None | $2,884.03 | $3,019.95 | $3,890.45 |
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 $2,884.03 Median $3,715.35 Typical High $3,715.35 | Professional | None | $2,884.03 | $3,715.35 | $3,715.35 |
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 $2,238.72 Median $3,019.95 Typical High $3,981.07 | Professional | None | $2,238.72 | $3,019.95 | $3,981.07 |
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 $2,089.30 Median $2,511.89 Typical High $4,073.80 | Professional | None | $2,089.30 | $2,511.89 | $4,073.80 |
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 $1,445.44 Median $1,513.56 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,445.44 | $1,513.56 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $602.56 Typical High $776.25 | Professional | 53 · Discontinued | $588.84 | $602.56 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $2,290.87 Typical High $2,884.03 | Professional | 54 · Surgery only | $2,187.76 | $2,290.87 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $457.09 Typical High $575.44 | Professional | 55 · Aftercare only | $436.52 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $302.00 Typical High $389.05 | Professional | 56 · Pre-op care only | $288.40 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $2,137.96 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $2,041.74 | $2,137.96 | $2,691.53 |
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· 23rd of 51
$3,020
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.