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 $354.81 Median $1,258.93 Typical High $3,467.37 | Facility | None | $354.81 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $446.68 | Professional | None | $309.03 | $354.81 | $446.68 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $870.96 | Facility | None | $144.54 | $229.09 | $870.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $478.63 | Professional | None | $331.13 | $426.58 | $478.63 |
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 $75.86 Median $114.82 Typical High $229.09 | Facility | None | $75.86 | $114.82 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $512.86 | Professional | None | $281.84 | $363.08 | $512.86 |
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 $223.87 Median $275.42 Typical High $457.09 | Professional | None | $223.87 | $275.42 | $457.09 |
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 $154.88 Median $177.83 Typical High $213.80 | Professional | 52 · Reduced service | $154.88 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $70.79 Typical High $87.10 | Professional | 53 · Discontinued | $61.66 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $263.03 Typical High $323.59 | Professional | 54 · Surgery only | $234.42 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $52.48 Typical High $64.57 | Professional | 55 · Aftercare only | $46.77 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $35.48 Typical High $43.65 | Professional | 56 · Pre-op care only | $30.90 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $245.47 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $218.78 | $245.47 | $302.00 |
Where Louisiana sits
The same service costs 5.4 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· 23rd of 51
$355
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.