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 $338.84 Median $1,288.25 Typical High $3,467.37 | Facility | None | $338.84 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | None | $234.42 | $275.42 | $338.84 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $263.03 Typical High $537.03 | Facility | None | $144.54 | $263.03 | $537.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $380.19 | Professional | None | $251.19 | $323.59 | $380.19 |
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 $213.80 Median $281.84 Typical High $416.87 | Professional | None | $213.80 | $281.84 | $416.87 |
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 $165.96 Median $213.80 Typical High $338.84 | Professional | None | $165.96 | $213.80 | $338.84 |
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 $117.49 Median $138.04 Typical High $169.82 | Professional | 52 · Reduced service | $117.49 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | 53 · Discontinued | $46.77 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $208.93 Typical High $257.04 | Professional | 54 · Surgery only | $173.78 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $41.69 Typical High $51.29 | Professional | 55 · Aftercare only | $34.67 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | 56 · Pre-op care only | $23.44 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $194.98 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $162.18 | $194.98 | $239.88 |
Where Louisiana sits
The same service costs 5.0 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· 20th of 51
$275
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.