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 $575.44 Median $2,398.83 Typical High $3,890.45 | Facility | None | $575.44 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $831.76 | Professional | None | $457.09 | $645.65 | $831.76 |
BCBS Louisiana Setting Facility Modifier None Typical Low $812.83 Median $1,174.90 Typical High $2,951.21 | Facility | None | $812.83 | $1,174.90 | $2,951.21 |
BCBS Louisiana Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $812.83 | Professional | None | $467.74 | $588.84 | $812.83 |
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 $630.96 Median $933.25 Typical High $1,737.80 | Facility | None | $630.96 | $933.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $870.96 | Professional | None | $398.11 | $602.56 | $870.96 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,511.89 | Facility | None | $275.42 | $630.96 | $2,511.89 |
United Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $812.83 | Professional | None | $346.74 | $512.86 | $812.83 |
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 $223.87 Median $323.59 Typical High $398.11 | Professional | 52 · Reduced service | $223.87 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $128.82 Typical High $158.49 | Professional | 53 · Discontinued | $91.20 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $478.63 Typical High $602.56 | Professional | 54 · Surgery only | $338.84 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $95.50 Typical High $120.23 | Professional | 55 · Aftercare only | $67.61 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $64.57 Typical High $79.43 | Professional | 56 · Pre-op care only | $45.71 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $446.68 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $316.23 | $446.68 | $562.34 |
Where Louisiana sits
The same service costs 4.8 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
$631
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.