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 $2,754.23 Median $2,884.03 Typical High $3,890.45 | Professional | None | $2,754.23 | $2,884.03 | $3,890.45 |
BCBS Louisiana Setting Facility Modifier None Typical Low $10,964.78 Median $12,589.25 Typical High $12,589.25 | Facility | None | $10,964.78 | $12,589.25 | $12,589.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,754.23 Median $3,467.37 Typical High $3,467.37 | Professional | None | $2,754.23 | $3,467.37 | $3,467.37 |
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 $14,791.08 | Facility | None | $524.81 | $1,621.81 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,089.30 | $2,818.38 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $7,762.47 Typical High $24,547.09 | Facility | None | $1,621.81 | $7,762.47 | $24,547.09 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $4,073.80 | Professional | None | $1,949.84 | $2,344.23 | $4,073.80 |
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 $1,380.38 Median $1,412.54 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,380.38 | $1,412.54 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $575.44 Typical High $724.44 | Professional | 53 · Discontinued | $549.54 | $575.44 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,137.96 Typical High $2,754.23 | Professional | 54 · Surgery only | $2,041.74 | $2,137.96 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $426.58 Typical High $549.54 | Professional | 55 · Aftercare only | $407.38 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $288.40 Typical High $363.08 | Professional | 56 · Pre-op care only | $275.42 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,995.26 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,995.26 | $2,570.40 |
Where Louisiana sits
The same service costs 6.5 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· 21st of 51
$3,236
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.