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 $120.23 Median $1,122.02 Typical High $3,715.35 | Facility | None | $120.23 | $1,122.02 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $154.88 | Professional | None | $95.50 | $120.23 | $154.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $72.44 Median $263.03 Typical High $537.03 | Facility | None | $72.44 | $263.03 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $165.96 | Professional | None | $102.33 | $128.82 | $165.96 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $446.68 Typical High $707.95 | Facility | None | $67.61 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $177.83 | Professional | None | $87.10 | $125.89 | $177.83 |
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 $74.13 Median $112.20 Typical High $181.97 | Professional | None | $74.13 | $112.20 | $181.97 |
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 $47.86 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $47.86 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $19.05 | $23.99 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $91.20 Typical High $114.82 | Professional | 54 · Surgery only | $72.44 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $18.20 Typical High $22.91 | Professional | 55 · Aftercare only | $14.45 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $12.02 Typical High $15.14 | Professional | 56 · Pre-op care only | $9.55 | $12.02 | $15.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $85.11 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $67.61 | $85.11 | $107.15 |
Where Louisiana sits
The same service costs 3.9 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· 27th of 51
$126
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.