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 $389.05 Median $1,288.25 Typical High $3,467.37 | Facility | None | $389.05 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $501.19 | Professional | None | $363.08 | $389.05 | $501.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $537.03 | Facility | None | $144.54 | $269.15 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $501.19 | Professional | None | $380.19 | $478.63 | $501.19 |
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 $147.91 Median $331.13 Typical High $676.08 | Facility | None | $147.91 | $331.13 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $537.03 | Professional | None | $316.23 | $407.38 | $537.03 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,202.26 | Facility | None | $91.20 | $363.08 | $1,202.26 |
United Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $524.81 | Professional | None | $257.04 | $316.23 | $524.81 |
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 $181.97 Median $190.55 Typical High $245.47 | Professional | 52 · Reduced service | $181.97 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $77.62 Typical High $97.72 | Professional | 53 · Discontinued | $72.44 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $288.40 Typical High $371.54 | Professional | 54 · Surgery only | $269.15 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $57.54 Typical High $74.13 | Professional | 55 · Aftercare only | $53.70 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $38.90 Typical High $48.98 | Professional | 56 · Pre-op care only | $36.31 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $269.15 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $251.19 | $269.15 | $346.74 |
Where Louisiana sits
The same service costs 5.5 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
$389
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.