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 $724.44 Median $2,398.83 Typical High $4,365.16 | Facility | None | $724.44 | $2,398.83 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,348.96 | $1,737.80 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $5,754.40 | Facility | None | $1,819.70 | $2,630.27 | $5,754.40 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,318.26 | $1,698.24 | $1,698.24 |
Christus Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $2,884.03 | Facility | None | $707.95 | $1,380.38 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $1,819.70 | Professional | None | $912.01 | $1,380.38 | $1,819.70 |
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 $831.76 Median $1,096.48 Typical High $1,819.70 | Professional | None | $831.76 | $1,096.48 | $1,819.70 |
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 $645.65 Median $676.08 Typical High $851.14 | Professional | 52 · Reduced service | $645.65 | $676.08 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $269.15 Typical High $346.74 | Professional | 53 · Discontinued | $263.03 | $269.15 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,023.29 Typical High $1,288.25 | Professional | 54 · Surgery only | $977.24 | $1,023.29 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $204.17 Typical High $257.04 | Professional | 55 · Aftercare only | $194.98 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $134.90 Typical High $173.78 | Professional | 56 · Pre-op care only | $128.82 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $954.99 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $912.01 | $954.99 | $1,202.26 |
Where Louisiana sits
The same service costs 7.6 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· 17th of 51
$1,549
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.