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 $389.05 Median $1,258.93 Typical High $3,467.37 | Facility | None | $389.05 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $512.86 | Professional | None | $363.08 | $398.11 | $512.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $229.09 Typical High $537.03 | Facility | None | $144.54 | $229.09 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $537.03 | Professional | None | $389.05 | $489.78 | $537.03 |
Christus Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
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 $323.59 Median $416.87 Typical High $575.44 | Professional | None | $323.59 | $416.87 | $575.44 |
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 $263.03 Median $323.59 Typical High $537.03 | Professional | None | $263.03 | $323.59 | $537.03 |
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 $181.97 Median $199.53 Typical High $251.19 | Professional | 52 · Reduced service | $181.97 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $81.28 Typical High $100.00 | Professional | 53 · Discontinued | $72.44 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $302.00 Typical High $380.19 | Professional | 54 · Surgery only | $269.15 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $60.26 Typical High $75.86 | Professional | 55 · Aftercare only | $54.95 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $39.81 Typical High $50.12 | Professional | 56 · Pre-op care only | $36.31 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $281.84 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $251.19 | $281.84 | $354.81 |
Where Louisiana sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 26th of 51
$398
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.