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 $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,513.56 | $2,041.74 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,466.84 Median $5,128.61 Typical High $16,982.44 | Facility | None | $4,466.84 | $5,128.61 | $16,982.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,479.11 | $1,905.46 | $1,905.46 |
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 $645.65 Median $1,348.96 Typical High $8,128.31 | Facility | None | $645.65 | $1,348.96 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,548.82 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,801.89 | $12,589.25 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,288.25 | $2,137.96 |
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 $724.44 Median $758.58 Typical High $977.24 | Professional | 52 · Reduced service | $724.44 | $758.58 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $302.00 Typical High $389.05 | Professional | 53 · Discontinued | $295.12 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,148.15 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,096.48 | $1,148.15 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $229.09 Typical High $288.40 | Professional | 55 · Aftercare only | $218.78 | $229.09 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $151.36 Typical High $194.98 | Professional | 56 · Pre-op care only | $147.91 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,071.52 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,071.52 | $1,348.96 |
Where Louisiana sits
The same service costs 8.3 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· 22nd of 51
$1,820
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.