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 $380.19 | Professional | None | $190.55 | $269.15 | $380.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $208.93 Median $1,174.90 Typical High $2,951.21 | Facility | None | $208.93 | $1,174.90 | $2,951.21 |
BCBS Louisiana Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $398.11 | Professional | None | $194.98 | $263.03 | $398.11 |
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 $204.17 Median $426.58 Typical High $676.08 | Facility | None | $204.17 | $426.58 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $426.58 | Professional | None | $169.82 | $269.15 | $426.58 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,511.89 | Facility | None | $275.42 | $630.96 | $2,511.89 |
United Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $380.19 | Professional | None | $144.54 | $234.42 | $380.19 |
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 $190.55 | Professional | 52 · Reduced service | $95.50 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $53.70 Typical High $75.86 | Professional | 53 · Discontinued | $38.02 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $204.17 Typical High $281.84 | Professional | 54 · Surgery only | $144.54 | $204.17 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $40.74 Typical High $56.23 | Professional | 55 · Aftercare only | $28.84 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $26.92 Typical High $38.02 | Professional | 56 · Pre-op care only | $19.05 | $26.92 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $190.55 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $134.90 | $190.55 | $263.03 |
Where Louisiana sits
The same service costs 4.4 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· 24th of 51
$269
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.