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 $575.44 Median $1,862.09 Typical High $3,715.35 | Facility | None | $575.44 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $660.69 | Professional | None | $478.63 | $489.78 | $660.69 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,073.80 Median $4,570.88 Typical High $12,302.69 | Facility | None | $4,073.80 | $4,570.88 | $12,302.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $630.96 | Professional | None | $489.78 | $630.96 | $630.96 |
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 $524.81 Median $1,071.52 Typical High $5,888.44 | Facility | None | $524.81 | $1,071.52 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $691.83 | Professional | None | $389.05 | $524.81 | $691.83 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $8,912.51 | Facility | None | $851.14 | $1,548.82 | $8,912.51 |
United Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $724.44 | Professional | None | $338.84 | $416.87 | $724.44 |
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 $239.88 Median $245.47 Typical High $316.23 | Professional | 52 · Reduced service | $239.88 | $245.47 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $97.72 Typical High $125.89 | Professional | 53 · Discontinued | $95.50 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $371.54 Typical High $467.74 | Professional | 54 · Surgery only | $354.81 | $371.54 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $74.13 Typical High $93.33 | Professional | 55 · Aftercare only | $70.79 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $48.98 Typical High $63.10 | Professional | 56 · Pre-op care only | $47.86 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $346.74 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $331.13 | $346.74 | $436.52 |
Where Louisiana sits
The same service costs 7.2 times more in Alaska than in Texas. 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· 18th of 51
$631
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.