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 $338.84 Median $1,288.25 Typical High $3,467.37 | Facility | None | $338.84 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $389.05 | Professional | None | $190.55 | $269.15 | $389.05 |
BCBS Louisiana Setting Facility Modifier None Typical Low $218.78 Median $1,412.54 Typical High $4,168.69 | Facility | None | $218.78 | $1,412.54 | $4,168.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $416.87 | Professional | None | $194.98 | $263.03 | $416.87 |
Christus Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $630.96 Typical High $1,318.26 | Facility | None | $346.74 | $630.96 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $436.52 | Professional | None | $169.82 | $269.15 | $436.52 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,467.37 | Facility | None | $446.68 | $954.99 | $3,467.37 |
United Setting Professional Modifier None Typical Low $141.25 Median $239.88 Typical High $389.05 | Professional | None | $141.25 | $239.88 | $389.05 |
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 $95.50 Median $134.90 Typical High $194.98 | Professional | 52 · Reduced service | $95.50 | $134.90 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $53.70 Typical High $77.62 | Professional | 53 · Discontinued | $38.02 | $53.70 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $199.53 Typical High $288.40 | Professional | 54 · Surgery only | $141.25 | $199.53 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $39.81 Typical High $57.54 | Professional | 55 · Aftercare only | $28.84 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $26.92 Typical High $38.90 | Professional | 56 · Pre-op care only | $19.05 | $26.92 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $186.21 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $131.83 | $186.21 | $269.15 |
Where Louisiana sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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
$282
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.