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 $331.13 Median $1,288.25 Typical High $3,467.37 | Facility | None | $331.13 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $331.13 | Professional | None | $199.53 | $269.15 | $331.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $165.96 Median $1,412.54 Typical High $4,168.69 | Facility | None | $165.96 | $1,412.54 | $4,168.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $354.81 | Professional | None | $204.17 | $257.04 | $354.81 |
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 $158.49 Median $346.74 Typical High $676.08 | Facility | None | $158.49 | $346.74 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $380.19 | Professional | None | $173.78 | $257.04 | $380.19 |
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 $151.36 Median $213.80 Typical High $346.74 | Professional | None | $151.36 | $213.80 | $346.74 |
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 $100.00 Median $134.90 Typical High $165.96 | Professional | 52 · Reduced service | $100.00 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $53.70 Typical High $66.07 | Professional | 53 · Discontinued | $39.81 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $199.53 Typical High $251.19 | Professional | 54 · Surgery only | $151.36 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $39.81 Typical High $50.12 | Professional | 55 · Aftercare only | $30.20 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $26.92 Typical High $33.11 | Professional | 56 · Pre-op care only | $19.95 | $26.92 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $186.21 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $141.25 | $186.21 | $234.42 |
Where Louisiana sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$257
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.