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 $380.19 Median $1,258.93 Typical High $3,467.37 | Facility | None | $380.19 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $389.05 | Professional | None | $275.42 | $323.59 | $389.05 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $870.96 | Facility | None | $144.54 | $269.15 | $870.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $426.58 | Professional | None | $295.12 | $371.54 | $426.58 |
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 $75.86 Median $114.82 Typical High $229.09 | Facility | None | $75.86 | $114.82 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $457.09 | Professional | None | $251.19 | $323.59 | $457.09 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,202.26 | Facility | None | $91.20 | $363.08 | $1,202.26 |
United Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $436.52 | Professional | None | $204.17 | $263.03 | $436.52 |
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 $138.04 Median $162.18 Typical High $194.98 | Professional | 52 · Reduced service | $138.04 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $64.57 Typical High $77.62 | Professional | 53 · Discontinued | $54.95 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $239.88 Typical High $295.12 | Professional | 54 · Surgery only | $208.93 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $47.86 Typical High $58.88 | Professional | 55 · Aftercare only | $41.69 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $32.36 Typical High $38.90 | Professional | 56 · Pre-op care only | $27.54 | $32.36 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $223.87 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $194.98 | $223.87 | $275.42 |
Where Louisiana sits
The same service costs 5.1 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
$324
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.