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 $676.08 Median $2,951.21 Typical High $3,890.45 | Facility | None | $676.08 | $2,951.21 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,951.21 Typical High $3,715.35 | Professional | None | $2,818.38 | $2,951.21 | $3,715.35 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,570.88 Median $5,495.41 Typical High $11,481.54 | Facility | None | $4,570.88 | $5,495.41 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,818.38 Median $3,467.37 Typical High $3,548.13 | Professional | None | $2,818.38 | $3,467.37 | $3,548.13 |
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 $1,071.52 Typical High $4,786.30 | Facility | None | $524.81 | $1,071.52 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,951.21 Typical High $3,890.45 | Professional | None | $1,995.26 | $2,951.21 | $3,890.45 |
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 $1,819.70 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,819.70 | $2,290.87 | $3,630.78 |
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 $1,412.54 Median $1,479.11 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,412.54 | $1,479.11 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $588.84 Typical High $741.31 | Professional | 53 · Discontinued | $562.34 | $588.84 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,187.76 Typical High $2,818.38 | Professional | 54 · Surgery only | $2,137.96 | $2,187.76 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $436.52 Typical High $562.34 | Professional | 55 · Aftercare only | $426.58 | $436.52 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $295.12 Typical High $371.54 | Professional | 56 · Pre-op care only | $281.84 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,041.74 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,041.74 | $2,630.27 |
Where Louisiana sits
The same service costs 21.4 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· 20th 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.