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 $851.14 Median $891.25 Typical High $1,202.26 | Professional | None | $851.14 | $891.25 | $1,202.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $363.08 Median $1,096.48 Typical High $2,951.21 | Facility | None | $363.08 | $1,096.48 | $2,951.21 |
BCBS Louisiana Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | None | $870.96 | $1,122.02 | $1,122.02 |
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 $331.13 Median $645.65 Typical High $1,548.82 | Facility | None | $331.13 | $645.65 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,202.26 | Professional | None | $676.08 | $912.01 | $1,202.26 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,995.26 | Facility | None | $91.20 | $407.38 | $1,995.26 |
United Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,174.90 | Professional | None | $602.56 | $741.31 | $1,174.90 |
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 $426.58 Median $446.68 Typical High $562.34 | Professional | 52 · Reduced service | $426.58 | $446.68 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $177.83 Typical High $223.87 | Professional | 53 · Discontinued | $169.82 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $660.69 Typical High $851.14 | Professional | 54 · Surgery only | $645.65 | $660.69 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $131.83 Typical High $169.82 | Professional | 55 · Aftercare only | $128.82 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $89.13 Typical High $112.20 | Professional | 56 · Pre-op care only | $85.11 | $89.13 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $616.60 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $602.56 | $616.60 | $794.33 |
Where Louisiana sits
The same service costs 8.5 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
$912
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.