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 $354.81 Median $1,288.25 Typical High $3,467.37 | Facility | None | $354.81 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $295.12 Typical High $398.11 | Professional | None | $288.40 | $295.12 | $398.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $363.08 Median $1,096.48 Typical High $2,951.21 | Facility | None | $363.08 | $1,096.48 | $2,951.21 |
BCBS Louisiana Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $398.11 | Professional | None | $309.03 | $389.05 | $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 $331.13 Median $645.65 Typical High $1,548.82 | Facility | None | $331.13 | $645.65 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $426.58 | Professional | None | $239.88 | $323.59 | $426.58 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Facility | None | $446.68 | $954.99 | $3,388.44 |
United Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $407.38 | Professional | None | $199.53 | $245.47 | $407.38 |
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 $144.54 Median $147.91 Typical High $190.55 | Professional | 52 · Reduced service | $144.54 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $75.86 | Professional | 53 · Discontinued | $57.54 | $58.88 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $223.87 Typical High $281.84 | Professional | 54 · Surgery only | $213.80 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $44.67 Typical High $56.23 | Professional | 55 · Aftercare only | $42.66 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $29.51 Typical High $38.02 | Professional | 56 · Pre-op care only | $28.84 | $29.51 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $208.93 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $199.53 | $208.93 | $263.03 |
Where Louisiana sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 23rd of 51
$339
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.