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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $616.60 | Professional | None | $436.52 | $489.78 | $616.60 |
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 $467.74 Median $588.84 Typical High $645.65 | Professional | None | $467.74 | $588.84 | $645.65 |
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 $363.08 Median $501.19 Typical High $707.95 | Professional | None | $363.08 | $501.19 | $707.95 |
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 $316.23 Median $389.05 Typical High $660.69 | Professional | None | $316.23 | $389.05 | $660.69 |
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 $218.78 Median $245.47 Typical High $309.03 | Professional | 52 · Reduced service | $218.78 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $123.03 | Professional | 53 · Discontinued | $87.10 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $363.08 Typical High $457.09 | Professional | 54 · Surgery only | $331.13 | $363.08 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $74.13 Typical High $91.20 | Professional | 55 · Aftercare only | $66.07 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $48.98 Typical High $61.66 | Professional | 56 · Pre-op care only | $43.65 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $309.03 | $338.84 | $426.58 |
Where Louisiana sits
The same service costs 5.2 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· 23rd of 51
$479
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.