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 $2,511.89 Typical High $4,365.16 | Facility | None | $724.44 | $2,511.89 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $2,818.38 | Professional | None | $1,995.26 | $2,089.30 | $2,818.38 |
BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $5,623.41 Typical High $5,623.41 | Facility | None | $4,897.79 | $5,623.41 | $5,623.41 |
BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,995.26 | $2,570.40 | $2,570.40 |
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 $1,621.81 Typical High $7,413.10 | Facility | None | $524.81 | $1,621.81 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,548.82 | $2,089.30 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,890.45 | $12,589.25 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,698.24 | $2,884.03 |
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 $1,000.00 Median $1,047.13 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,000.00 | $1,047.13 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $416.87 Typical High $524.81 | Professional | 53 · Discontinued | $398.11 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,548.82 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,513.56 | $1,548.82 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $309.03 Typical High $398.11 | Professional | 55 · Aftercare only | $302.00 | $309.03 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $208.93 Typical High $263.03 | Professional | 56 · Pre-op care only | $199.53 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,445.44 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,445.44 | $1,862.09 |
Where Louisiana sits
The same service costs 8.9 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· 23rd of 51
$2,138
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.