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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,000.00 | Professional | None | $676.08 | $812.83 | $1,000.00 |
BCBS Louisiana Setting Facility Modifier None Typical Low $794.33 Median $1,380.38 Typical High $4,265.80 | Facility | None | $794.33 | $1,380.38 | $4,265.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,096.48 | Professional | None | $707.95 | $912.01 | $1,096.48 |
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 $501.19 Median $741.31 Typical High $1,148.15 | Facility | None | $501.19 | $741.31 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,174.90 | Professional | None | $602.56 | $794.33 | $1,174.90 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Facility | None | $446.68 | $954.99 | $3,388.44 |
United Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $1,096.48 | Professional | None | $501.19 | $676.08 | $1,096.48 |
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 $338.84 Median $407.38 Typical High $501.19 | Professional | 52 · Reduced service | $338.84 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $162.18 Typical High $199.53 | Professional | 53 · Discontinued | $134.90 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $602.56 Typical High $741.31 | Professional | 54 · Surgery only | $512.86 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $120.23 Typical High $147.91 | Professional | 55 · Aftercare only | $102.33 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $81.28 Typical High $100.00 | Professional | 56 · Pre-op care only | $67.61 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $562.34 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $478.63 | $562.34 | $691.83 |
Where Louisiana sits
The same service costs 5.6 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· 24th of 51
$832
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.