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 $2,454.71 Typical High $4,365.16 | Facility | None | $724.44 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,819.70 | $2,454.71 |
BCBS Louisiana 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 Louisiana Setting Professional Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,778.28 | $2,290.87 | $2,290.87 |
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 $1,380.38 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,862.09 | $2,454.71 |
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 $1,258.93 Median $1,513.56 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,513.56 | $2,630.27 |
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 $870.96 Median $912.01 Typical High $1,174.90 | Professional | 52 · Reduced service | $870.96 | $912.01 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $363.08 Typical High $467.74 | Professional | 53 · Discontinued | $354.81 | $363.08 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,380.38 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,318.26 | $1,380.38 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $275.42 Typical High $346.74 | Professional | 55 · Aftercare only | $263.03 | $275.42 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $181.97 Typical High $234.42 | Professional | 56 · Pre-op care only | $177.83 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,288.25 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,288.25 | $1,621.81 |
Where Louisiana sits
The same service costs 18.6 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· 21st of 51
$1,995
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.