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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $812.83 Typical High $1,096.48 | Professional | None | $794.33 | $812.83 | $1,096.48 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $6,918.31 | Facility | None | $1,819.70 | $2,818.38 | $6,918.31 |
BCBS Louisiana Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,023.29 | Professional | None | $812.83 | $1,023.29 | $1,023.29 |
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 $501.19 Median $831.76 Typical High $2,630.27 | Facility | None | $501.19 | $831.76 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,122.02 | Professional | None | $616.60 | $851.14 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $1,096.48 | Professional | None | $562.34 | $676.08 | $1,096.48 |
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 $389.05 Median $407.38 Typical High $524.81 | Professional | 52 · Reduced service | $389.05 | $407.38 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $162.18 Typical High $208.93 | Professional | 53 · Discontinued | $158.49 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $616.60 Typical High $776.25 | Professional | 54 · Surgery only | $588.84 | $616.60 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $123.03 Typical High $154.88 | Professional | 55 · Aftercare only | $117.49 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $81.28 Typical High $104.71 | Professional | 56 · Pre-op care only | $79.43 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $575.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $549.54 | $575.44 | $724.44 |
Where Louisiana sits
The same service costs 18.6 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· 20th of 51
$977
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.