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 $1,949.84 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,949.84 | $1,995.26 | $2,754.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $6,309.57 Median $10,964.78 Typical High $15,488.17 | Facility | None | $6,309.57 | $10,964.78 | $15,488.17 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,949.84 | $2,454.71 | $2,454.71 |
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 $1,380.38 Typical High $2,691.53 | Facility | None | $524.81 | $1,380.38 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $2,691.53 | Professional | None | $1,445.44 | $2,041.74 | $2,691.53 |
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 $1,122.02 Median $1,548.82 Typical High $2,754.23 | Professional | None | $1,122.02 | $1,548.82 | $2,754.23 |
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 $977.24 Median $1,000.00 Typical High $1,288.25 | Professional | 52 · Reduced service | $977.24 | $1,000.00 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $407.38 Typical High $512.86 | Professional | 53 · Discontinued | $389.05 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,513.56 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,445.44 | $1,513.56 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $302.00 Typical High $389.05 | Professional | 55 · Aftercare only | $288.40 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $199.53 Typical High $257.04 | Professional | 56 · Pre-op care only | $194.98 | $199.53 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,412.54 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,412.54 | $1,778.28 |
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· 20th of 51
$2,042
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.