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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $831.76 | Professional | None | $588.84 | $645.65 | $831.76 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $537.03 | Facility | None | $144.54 | $269.15 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $851.14 | Professional | None | $616.60 | $794.33 | $851.14 |
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 $147.91 Median $331.13 Typical High $676.08 | Facility | None | $147.91 | $331.13 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $912.01 | Professional | None | $512.86 | $691.83 | $912.01 |
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 $426.58 Median $524.81 Typical High $891.25 | Professional | None | $426.58 | $524.81 | $891.25 |
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 $295.12 Median $323.59 Typical High $416.87 | Professional | 52 · Reduced service | $295.12 | $323.59 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $128.82 Typical High $165.96 | Professional | 53 · Discontinued | $117.49 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $489.78 Typical High $616.60 | Professional | 54 · Surgery only | $446.68 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $97.72 Typical High $123.03 | Professional | 55 · Aftercare only | $89.13 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $64.57 Typical High $83.18 | Professional | 56 · Pre-op care only | $58.88 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $457.09 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $416.87 | $457.09 | $575.44 |
Where Louisiana sits
The same service costs 5.8 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· 27th of 51
$631
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.