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 $478.63 Median $1,513.56 Typical High $3,467.37 | Facility | None | $478.63 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $707.95 | Professional | None | $380.19 | $537.03 | $707.95 |
BCBS Louisiana Setting Facility Modifier None Typical Low $812.83 Median $1,412.54 Typical High $4,168.69 | Facility | None | $812.83 | $1,412.54 | $4,168.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $724.44 | Professional | None | $389.05 | $501.19 | $724.44 |
Christus Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $1,318.26 | Facility | None | $501.19 | $758.58 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $776.25 | Professional | None | $346.74 | $524.81 | $776.25 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,467.37 | Facility | None | $446.68 | $954.99 | $3,467.37 |
United Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $707.95 | Professional | None | $295.12 | $446.68 | $707.95 |
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 $190.55 Median $269.15 Typical High $354.81 | Professional | 52 · Reduced service | $190.55 | $269.15 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $107.15 Typical High $141.25 | Professional | 53 · Discontinued | $75.86 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $407.38 Typical High $524.81 | Professional | 54 · Surgery only | $288.40 | $407.38 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $81.28 Typical High $104.71 | Professional | 55 · Aftercare only | $57.54 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $53.70 Typical High $70.79 | Professional | 56 · Pre-op care only | $38.02 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $380.19 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $269.15 | $380.19 | $489.78 |
Where Louisiana sits
The same service costs 4.9 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· 20th of 51
$550
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.