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 $363.08 Median $1,174.90 Typical High $3,467.37 | Facility | None | $363.08 | $1,174.90 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $512.86 | Professional | None | $346.74 | $389.05 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $537.03 | Facility | None | $144.54 | $223.87 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $512.86 | Professional | None | $371.54 | $467.74 | $512.86 |
Christus Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
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 $309.03 Median $407.38 Typical High $549.54 | Professional | None | $309.03 | $407.38 | $549.54 |
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 $251.19 Median $316.23 Typical High $524.81 | Professional | None | $251.19 | $316.23 | $524.81 |
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 $173.78 Median $194.98 Typical High $245.47 | Professional | 52 · Reduced service | $173.78 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $77.62 Typical High $97.72 | Professional | 53 · Discontinued | $69.18 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $295.12 Typical High $363.08 | Professional | 54 · Surgery only | $263.03 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $58.88 Typical High $72.44 | Professional | 55 · Aftercare only | $52.48 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $38.90 Typical High $48.98 | Professional | 56 · Pre-op care only | $34.67 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $275.42 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $245.47 | $275.42 | $338.84 |
Where Louisiana sits
The same service costs 5.5 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· 25th of 51
$380
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.