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 $1,862.09 Typical High $3,715.35 | Facility | None | $446.68 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $501.19 | Professional | None | $346.74 | $398.11 | $501.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $977.24 Median $1,412.54 Typical High $5,011.87 | Facility | None | $977.24 | $1,412.54 | $5,011.87 |
BCBS Louisiana Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $512.86 | Professional | None | $354.81 | $457.09 | $512.86 |
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 $870.96 Typical High $1,584.89 | Facility | None | $524.81 | $870.96 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $549.54 | Professional | None | $302.00 | $407.38 | $549.54 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,495.41 | Facility | None | $851.14 | $1,548.82 | $5,495.41 |
United Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $549.54 | Professional | None | $257.04 | $331.13 | $549.54 |
7 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 $199.53 Typical High $245.47 | Professional | 52 · Reduced service | $173.78 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $79.43 Typical High $97.72 | Professional | 53 · Discontinued | $69.18 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $302.00 Typical High $363.08 | Professional | 54 · Surgery only | $257.04 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $60.26 Typical High $72.44 | Professional | 55 · Aftercare only | $51.29 | $60.26 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $39.81 Typical High $48.98 | Professional | 56 · Pre-op care only | $34.67 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $281.84 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $239.88 | $281.84 | $338.84 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $331.13 |
Where Louisiana sits
The same service costs 6.8 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· 18th of 51
$447
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.