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 $338.84 Median $1,288.25 Typical High $3,467.37 | Facility | None | $338.84 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $380.19 | Professional | None | $199.53 | $281.84 | $380.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $213.80 Median $1,412.54 Typical High $4,168.69 | Facility | None | $213.80 | $1,412.54 | $4,168.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $407.38 | Professional | None | $204.17 | $263.03 | $407.38 |
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 $199.53 Median $426.58 Typical High $676.08 | Facility | None | $199.53 | $426.58 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $426.58 | Professional | None | $177.83 | $281.84 | $426.58 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,467.37 | Facility | None | $446.68 | $954.99 | $3,467.37 |
United Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $380.19 | Professional | None | $151.36 | $239.88 | $380.19 |
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 $141.25 Typical High $190.55 | Professional | 52 · Reduced service | $100.00 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $56.23 Typical High $75.86 | Professional | 53 · Discontinued | $39.81 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $208.93 Typical High $288.40 | Professional | 54 · Surgery only | $151.36 | $208.93 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $42.66 Typical High $57.54 | Professional | 55 · Aftercare only | $30.20 | $42.66 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $28.18 Typical High $38.02 | Professional | 56 · Pre-op care only | $19.95 | $28.18 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $194.98 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $141.25 | $194.98 | $269.15 |
Where Louisiana sits
The same service costs 3.7 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· 22nd of 51
$282
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.