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 $2,238.72 Typical High $4,365.16 | Facility | None | $724.44 | $2,238.72 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,202.26 | Professional | None | $741.31 | $954.99 | $1,202.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $11,481.54 | Facility | None | $3,311.31 | $5,011.87 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,258.93 | Professional | None | $758.58 | $954.99 | $1,258.93 |
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 $707.95 Median $1,513.56 Typical High $4,786.30 | Facility | None | $707.95 | $1,513.56 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,318.26 | Professional | None | $630.96 | $912.01 | $1,318.26 |
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 $549.54 Median $794.33 Typical High $1,258.93 | Professional | None | $549.54 | $794.33 | $1,258.93 |
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 $371.54 Median $478.63 Typical High $588.84 | Professional | 52 · Reduced service | $371.54 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $190.55 Typical High $239.88 | Professional | 53 · Discontinued | $147.91 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $724.44 Typical High $891.25 | Professional | 54 · Surgery only | $549.54 | $724.44 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $144.54 Typical High $177.83 | Professional | 55 · Aftercare only | $109.65 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $95.50 Typical High $120.23 | Professional | 56 · Pre-op care only | $74.13 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $676.08 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $512.86 | $676.08 | $831.76 |
Where Louisiana sits
The same service costs 6.2 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· 19th of 51
$977
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.