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 $1,122.02 Typical High $3,715.35 | Facility | None | $354.81 | $1,122.02 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $478.63 | Professional | None | $338.84 | $371.54 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $537.03 | Facility | None | $144.54 | $223.87 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $489.78 | Professional | None | $371.54 | $467.74 | $489.78 |
Christus Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
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 $295.12 Median $389.05 Typical High $537.03 | Professional | None | $295.12 | $389.05 | $537.03 |
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 $239.88 Median $302.00 Typical High $489.78 | Professional | None | $239.88 | $302.00 | $489.78 |
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 $169.82 Median $181.97 Typical High $234.42 | Professional | 52 · Reduced service | $169.82 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $74.13 Typical High $93.33 | Professional | 53 · Discontinued | $67.61 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $275.42 Typical High $354.81 | Professional | 54 · Surgery only | $257.04 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $54.95 Typical High $70.79 | Professional | 55 · Aftercare only | $51.29 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $37.15 Typical High $46.77 | Professional | 56 · Pre-op care only | $33.88 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $257.04 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $239.88 | $257.04 | $331.13 |
Where Louisiana sits
The same service costs 5.6 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· 26th of 51
$372
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.