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 $758.58 Median $1,949.84 Typical High $4,365.16 | Facility | None | $758.58 | $1,949.84 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,348.96 | $1,862.09 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,073.80 Median $5,754.40 Typical High $12,882.50 | Facility | None | $4,073.80 | $5,754.40 | $12,882.50 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,348.96 | $1,698.24 | $1,698.24 |
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 $1,621.81 Typical High $5,888.44 | Facility | None | $524.81 | $1,621.81 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,380.38 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,801.89 | $12,589.25 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,905.46 | Professional | None | $933.25 | $1,122.02 | $1,905.46 |
4 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 54 · Surgery only Typical Low $977.24 Median $1,023.29 Typical High $1,288.25 | Professional | 54 · Surgery only | $977.24 | $1,023.29 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $204.17 Typical High $263.03 | Professional | 55 · Aftercare only | $194.98 | $204.17 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $134.90 Typical High $173.78 | Professional | 56 · Pre-op care only | $131.83 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $954.99 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $912.01 | $954.99 | $1,202.26 |
Where Louisiana sits
The same service costs 7.6 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
$1,660
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.