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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,096.48 | Professional | None | $776.25 | $812.83 | $1,096.48 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $5,495.41 | Facility | None | $1,819.70 | $2,454.71 | $5,495.41 |
BCBS Louisiana Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,071.52 | Professional | None | $831.76 | $1,071.52 | $1,071.52 |
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 $331.13 Median $645.65 Typical High $2,630.27 | Facility | None | $331.13 | $645.65 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,148.15 | Professional | None | $616.60 | $870.96 | $1,148.15 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $4,466.84 | Facility | None | $446.68 | $954.99 | $4,466.84 |
United Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $1,096.48 | Professional | None | $562.34 | $691.83 | $1,096.48 |
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 $389.05 Median $398.11 Typical High $512.86 | Professional | 52 · Reduced service | $389.05 | $398.11 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $162.18 Typical High $204.17 | Professional | 53 · Discontinued | $154.88 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $602.56 Typical High $776.25 | Professional | 54 · Surgery only | $588.84 | $602.56 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $120.23 Typical High $154.88 | Professional | 55 · Aftercare only | $117.49 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $81.28 Typical High $102.33 | Professional | 56 · Pre-op care only | $77.62 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $562.34 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $549.54 | $562.34 | $724.44 |
Where Louisiana sits
The same service costs 7.8 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
$933
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.