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 $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $691.83 Typical High $933.25 | Professional | None | $676.08 | $691.83 | $933.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $1,258.93 | Facility | None | $363.08 | $489.78 | $1,258.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $891.25 | Professional | None | $691.83 | $891.25 | $891.25 |
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 $426.58 Median $676.08 Typical High $1,096.48 | Facility | None | $426.58 | $676.08 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $954.99 | Professional | None | $537.03 | $724.44 | $954.99 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,137.96 | Facility | None | $275.42 | $645.65 | $2,137.96 |
United Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $1,000.00 | Professional | None | $457.09 | $575.44 | $1,000.00 |
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 $346.74 Typical High $446.68 | Professional | 52 · Reduced service | $338.84 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $138.04 Typical High $177.83 | Professional | 53 · Discontinued | $134.90 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $524.81 Typical High $660.69 | Professional | 54 · Surgery only | $501.19 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $104.71 Typical High $134.90 | Professional | 55 · Aftercare only | $100.00 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $69.18 Typical High $89.13 | Professional | 56 · Pre-op care only | $67.61 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $489.78 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $467.74 | $489.78 | $616.60 |
Where Louisiana sits
The same service costs 6.3 times more in Alaska than in Utah. 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· 25th of 51
$692
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.