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 $891.25 Median $3,162.28 Typical High $4,466.84 | Facility | None | $891.25 | $3,162.28 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,511.89 | $2,630.27 | $3,548.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7,585.78 Median $10,715.19 Typical High $13,182.57 | Facility | None | $7,585.78 | $10,715.19 | $13,182.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,511.89 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,511.89 | $3,235.94 | $3,235.94 |
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 $524.81 Median $1,621.81 Typical High $15,135.61 | Facility | None | $524.81 | $1,621.81 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $3,467.37 | Professional | None | $1,949.84 | $2,630.27 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $7,762.47 Typical High $21,877.62 | Facility | None | $1,621.81 | $7,762.47 | $21,877.62 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $3,630.78 | Professional | None | $1,737.80 | $2,137.96 | $3,630.78 |
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 $1,258.93 Median $1,318.26 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,258.93 | $1,318.26 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $524.81 Typical High $660.69 | Professional | 53 · Discontinued | $501.19 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,949.84 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,905.46 | $1,949.84 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $389.05 Typical High $501.19 | Professional | 55 · Aftercare only | $380.19 | $389.05 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $263.03 Typical High $331.13 | Professional | 56 · Pre-op care only | $251.19 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,819.70 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,819.70 | $2,344.23 |
Where Louisiana sits
The same service costs 16.2 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· 20th of 51
$2,951
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.