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 $1,513.56 Typical High $3,548.13 | Facility | None | $446.68 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $407.38 Typical High $549.54 | Professional | None | $288.40 | $407.38 | $549.54 |
BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $6,309.57 | Facility | None | $1,819.70 | $2,818.38 | $6,309.57 |
BCBS Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $575.44 | Professional | None | $295.12 | $380.19 | $575.44 |
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 $501.19 Median $831.76 Typical High $2,630.27 | Facility | None | $501.19 | $831.76 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $616.60 | Professional | None | $263.03 | $407.38 | $616.60 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Facility | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $218.78 Median $354.81 Typical High $575.44 | Professional | None | $218.78 | $354.81 | $575.44 |
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 $141.25 Median $204.17 Typical High $275.42 | Professional | 52 · Reduced service | $141.25 | $204.17 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $81.28 Typical High $112.20 | Professional | 53 · Discontinued | $57.54 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $302.00 Typical High $416.87 | Professional | 54 · Surgery only | $213.80 | $302.00 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $60.26 Typical High $83.18 | Professional | 55 · Aftercare only | $42.66 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $40.74 Typical High $54.95 | Professional | 56 · Pre-op care only | $28.84 | $40.74 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $281.84 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $199.53 | $281.84 | $389.05 |
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· 18th of 51
$437
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.