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 $457.09 Median $1,513.56 Typical High $3,548.13 | Facility | None | $457.09 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $645.65 | Professional | None | $346.74 | $489.78 | $645.65 |
BCBS Louisiana Setting Facility Modifier None Typical Low $323.59 Median $1,318.26 Typical High $5,011.87 | Facility | None | $323.59 | $1,318.26 | $5,011.87 |
BCBS Louisiana Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $676.08 | Professional | None | $363.08 | $457.09 | $676.08 |
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 $302.00 Median $524.81 Typical High $1,174.90 | Facility | None | $302.00 | $524.81 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $724.44 | Professional | None | $316.23 | $489.78 | $724.44 |
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 $263.03 Median $416.87 Typical High $645.65 | Professional | None | $263.03 | $416.87 | $645.65 |
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 $245.47 Typical High $323.59 | Professional | 52 · Reduced service | $173.78 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $97.72 Typical High $128.82 | Professional | 53 · Discontinued | $69.18 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $371.54 Typical High $489.78 | Professional | 54 · Surgery only | $263.03 | $371.54 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $74.13 Typical High $97.72 | Professional | 55 · Aftercare only | $52.48 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $48.98 Typical High $64.57 | Professional | 56 · Pre-op care only | $34.67 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $346.74 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $245.47 | $346.74 | $457.09 |
Where Louisiana sits
The same service costs 4.7 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· 21st of 51
$490
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.