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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $263.03 | Professional | None | $177.83 | $213.80 | $263.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $537.03 | Facility | None | $144.54 | $223.87 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $288.40 | Professional | None | $190.55 | $245.47 | $288.40 |
Christus Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
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 $165.96 Median $213.80 Typical High $316.23 | Professional | None | $165.96 | $213.80 | $316.23 |
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 $134.90 Median $169.82 Typical High $288.40 | Professional | None | $134.90 | $169.82 | $288.40 |
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 $89.13 Median $107.15 Typical High $131.83 | Professional | 52 · Reduced service | $89.13 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $42.66 Typical High $52.48 | Professional | 53 · Discontinued | $35.48 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $158.49 Typical High $199.53 | Professional | 54 · Surgery only | $134.90 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $31.62 Typical High $39.81 | Professional | 55 · Aftercare only | $26.92 | $31.62 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $21.38 Typical High $26.30 | Professional | 56 · Pre-op care only | $17.78 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $147.91 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $125.89 | $147.91 | $186.21 |
Where Louisiana sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 23rd of 51
$214
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.