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 $676.08 Median $2,691.53 Typical High $3,890.45 | Facility | None | $676.08 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,202.26 | $1,548.82 |
BCBS Louisiana Setting Facility Modifier None Typical Low $10,000.00 Median $11,481.54 Typical High $11,481.54 | Facility | None | $10,000.00 | $11,481.54 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,445.44 | $1,513.56 |
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 $524.81 Median $1,621.81 Typical High $15,135.61 | Facility | None | $524.81 | $1,621.81 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,621.81 | Professional | None | $891.25 | $1,230.27 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $15,848.93 | Facility | None | $1,348.96 | $3,890.45 | $15,848.93 |
United Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,513.56 | Professional | None | $758.58 | $954.99 | $1,513.56 |
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 $588.84 Median $602.56 Typical High $776.25 | Professional | 52 · Reduced service | $588.84 | $602.56 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $245.47 Typical High $309.03 | Professional | 53 · Discontinued | $234.42 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $912.01 Typical High $1,148.15 | Professional | 54 · Surgery only | $870.96 | $912.01 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $181.97 Typical High $234.42 | Professional | 55 · Aftercare only | $173.78 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $120.23 Typical High $154.88 | Professional | 56 · Pre-op care only | $117.49 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $851.14 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $812.83 | $851.14 | $1,071.52 |
Where Louisiana sits
The same service costs 16.2 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· 20th of 51
$1,318
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.