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 $891.25 Median $933.25 Typical High $1,258.93 | Professional | None | $891.25 | $933.25 | $1,258.93 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,128.61 Median $9,332.54 Typical High $13,489.63 | Facility | None | $5,128.61 | $9,332.54 | $13,489.63 |
BCBS Louisiana Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,174.90 | Professional | None | $912.01 | $1,122.02 | $1,174.90 |
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 $3,311.31 | Facility | None | $524.81 | $1,621.81 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $1,258.93 | Professional | None | $691.83 | $954.99 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,715.35 Typical High $11,481.54 | Facility | None | $1,348.96 | $3,715.35 | $11,481.54 |
United Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,318.26 | Professional | None | $575.44 | $758.58 | $1,318.26 |
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 $446.68 Median $467.74 Typical High $588.84 | Professional | 52 · Reduced service | $446.68 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $186.21 Typical High $234.42 | Professional | 53 · Discontinued | $177.83 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $691.83 Typical High $891.25 | Professional | 54 · Surgery only | $676.08 | $691.83 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $138.04 Typical High $177.83 | Professional | 55 · Aftercare only | $134.90 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $93.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $89.13 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $645.65 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $630.96 | $645.65 | $831.76 |
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· 19th of 51
$1,072
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.