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 $891.25 Median $3,162.28 Typical High $5,370.32 | Facility | None | $891.25 | $3,162.28 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,258.93 | $1,318.26 | $1,778.28 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,570.88 Median $5,495.41 Typical High $11,748.98 | Facility | None | $4,570.88 | $5,495.41 | $11,748.98 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,621.81 | $1,621.81 |
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 $588.84 Median $1,621.81 Typical High $4,786.30 | Facility | None | $588.84 | $1,621.81 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,737.80 | Professional | None | $977.24 | $1,318.26 | $1,737.80 |
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 $870.96 Median $1,071.52 Typical High $1,862.09 | Professional | None | $870.96 | $1,071.52 | $1,862.09 |
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 $630.96 Median $660.69 Typical High $831.76 | Professional | 52 · Reduced service | $630.96 | $660.69 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $263.03 Typical High $338.84 | Professional | 53 · Discontinued | $251.19 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $977.24 Typical High $1,258.93 | Professional | 54 · Surgery only | $954.99 | $977.24 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $199.53 Typical High $251.19 | Professional | 55 · Aftercare only | $190.55 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $131.83 Typical High $165.96 | Professional | 56 · Pre-op care only | $125.89 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $912.01 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $891.25 | $912.01 | $1,174.90 |
Where Louisiana sits
The same service costs 18.2 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· 20th of 51
$1,549
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.