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 $645.65 Median $2,454.71 Typical High $4,365.16 | Facility | None | $645.65 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $645.65 Typical High $870.96 | Professional | None | $616.60 | $645.65 | $870.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,715.35 Median $4,570.88 Typical High $10,000.00 | Facility | None | $3,715.35 | $4,570.88 | $10,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $794.33 | Professional | None | $616.60 | $794.33 | $794.33 |
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 $478.63 Median $645.65 Typical High $851.14 | Professional | None | $478.63 | $645.65 | $851.14 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $7,244.36 | Facility | None | $851.14 | $1,548.82 | $7,244.36 |
United Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $933.25 | Professional | None | $446.68 | $588.84 | $933.25 |
7 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 $309.03 Median $323.59 Typical High $407.38 | Professional | 52 · Reduced service | $309.03 | $323.59 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $128.82 Typical High $165.96 | Professional | 53 · Discontinued | $123.03 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $489.78 Typical High $616.60 | Professional | 54 · Surgery only | $467.74 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $97.72 Typical High $123.03 | Professional | 55 · Aftercare only | $93.33 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $64.57 Typical High $83.18 | Professional | 56 · Pre-op care only | $61.66 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $457.09 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $436.52 | $457.09 | $575.44 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $512.86 |
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· 22nd of 51
$794
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.