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 $912.01 Median $954.99 Typical High $1,288.25 | Professional | None | $912.01 | $954.99 | $1,288.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7,244.36 Median $8,709.64 Typical High $24,547.09 | Facility | None | $7,244.36 | $8,709.64 | $24,547.09 |
BCBS Louisiana Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | None | $933.25 | $1,202.26 | $1,202.26 |
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 $1,071.52 Typical High $13,803.84 | Facility | None | $524.81 | $1,071.52 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,288.25 | Professional | None | $724.44 | $977.24 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $15,488.17 | Facility | None | $1,202.26 | $3,019.95 | $15,488.17 |
United Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,513.56 | Professional | None | $660.69 | $851.14 | $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 $457.09 Median $478.63 Typical High $602.56 | Professional | 52 · Reduced service | $457.09 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $190.55 Typical High $245.47 | Professional | 53 · Discontinued | $186.21 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $724.44 Typical High $912.01 | Professional | 54 · Surgery only | $691.83 | $724.44 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $144.54 Typical High $181.97 | Professional | 55 · Aftercare only | $138.04 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $95.50 Typical High $123.03 | Professional | 56 · Pre-op care only | $91.20 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $676.08 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $645.65 | $676.08 | $851.14 |
Where Louisiana sits
The same service costs 7.9 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· 19th of 51
$1,202
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.