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 $676.08 Median $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,621.81 Typical High $2,187.76 | Professional | None | $1,584.89 | $1,621.81 | $2,187.76 |
BCBS Louisiana Setting Facility Modifier None Typical Low $8,709.64 Median $10,232.93 Typical High $24,547.09 | Facility | None | $8,709.64 | $10,232.93 | $24,547.09 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,584.89 | $2,041.74 | $2,041.74 |
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 $645.65 Median $1,348.96 Typical High $15,488.17 | Facility | None | $645.65 | $1,348.96 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,659.59 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $15,848.93 | Facility | None | $1,348.96 | $3,801.89 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $2,290.87 | Professional | None | $1,122.02 | $1,348.96 | $2,290.87 |
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 $776.25 Median $812.83 Typical High $1,047.13 | Professional | 52 · Reduced service | $776.25 | $812.83 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $323.59 Typical High $416.87 | Professional | 53 · Discontinued | $316.23 | $323.59 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,230.27 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,174.90 | $1,230.27 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $245.47 Typical High $309.03 | Professional | 55 · Aftercare only | $234.42 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $162.18 Typical High $208.93 | Professional | 56 · Pre-op care only | $158.49 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,148.15 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,148.15 | $1,445.44 |
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· 21st of 51
$1,950
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.