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 $1,995.26 Typical High $4,365.16 | Facility | None | $758.58 | $1,995.26 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,584.89 | $1,659.59 | $2,238.72 |
BCBS Louisiana Setting Facility Modifier None Typical Low $8,709.64 Median $10,715.19 Typical High $23,988.33 | Facility | None | $8,709.64 | $10,715.19 | $23,988.33 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,621.81 | $2,089.30 | $2,089.30 |
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 $14,454.40 | Facility | None | $524.81 | $1,621.81 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,258.93 | $1,698.24 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $15,848.93 | Facility | None | $1,348.96 | $3,801.89 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,380.38 | $2,344.23 |
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 $1,202.26 Median $1,258.93 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,202.26 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $251.19 Typical High $316.23 | Professional | 55 · Aftercare only | $239.88 | $251.19 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $165.96 Typical High $213.80 | Professional | 56 · Pre-op care only | $158.49 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,174.90 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,174.90 | $1,479.11 |
Where Louisiana sits
The same service costs 8.1 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· 19th of 51
$1,995
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.