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 $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $1,023.29 | Professional | None | $741.31 | $758.58 | $1,023.29 |
BCBS Louisiana Setting Facility Modifier None Typical Low $977.24 Median $1,621.81 Typical High $6,025.60 | Facility | None | $977.24 | $1,621.81 | $6,025.60 |
BCBS Louisiana Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $977.24 | Professional | None | $758.58 | $977.24 | $977.24 |
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 $870.96 Typical High $1,584.89 | Facility | None | $524.81 | $870.96 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,047.13 | Professional | None | $588.84 | $794.33 | $1,047.13 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,495.41 | Facility | None | $851.14 | $1,548.82 | $5,495.41 |
United Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,230.27 | Professional | None | $524.81 | $691.83 | $1,230.27 |
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 $371.54 Median $380.19 Typical High $489.78 | Professional | 52 · Reduced service | $371.54 | $380.19 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $151.36 Typical High $194.98 | Professional | 53 · Discontinued | $147.91 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $575.44 Typical High $724.44 | Professional | 54 · Surgery only | $549.54 | $575.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $114.82 Typical High $144.54 | Professional | 55 · Aftercare only | $109.65 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $75.86 Typical High $97.72 | Professional | 56 · Pre-op care only | $74.13 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $537.03 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $512.86 | $537.03 | $676.08 |
Where Louisiana sits
The same service costs 7.4 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· 21st of 51
$955
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.