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 $120.23 Median $141.25 Typical High $169.82 | Professional | None | $120.23 | $141.25 | $169.82 |
BCBS Louisiana Setting Facility Modifier None Typical Low $95.50 Median $223.87 Typical High $537.03 | Facility | None | $95.50 | $223.87 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $190.55 | Professional | None | $128.82 | $165.96 | $190.55 |
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 $100.00 Typical High $147.91 | Facility | None | $75.86 | $100.00 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $204.17 | Professional | None | $117.49 | $144.54 | $204.17 |
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 $91.20 Median $114.82 Typical High $190.55 | Professional | None | $91.20 | $114.82 | $190.55 |
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 $60.26 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $60.26 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $23.99 | $28.18 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $104.71 Typical High $128.82 | Professional | 54 · Surgery only | $91.20 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $20.89 Typical High $25.70 | Professional | 55 · Aftercare only | $18.20 | $20.89 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $14.13 Typical High $16.98 | Professional | 56 · Pre-op care only | $12.02 | $14.13 | $16.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $97.72 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $85.11 | $97.72 | $120.23 |
Where Louisiana sits
The same service costs 4.5 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· 21st of 51
$148
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.