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 $2,187.76 Typical High $4,365.16 | Facility | None | $758.58 | $2,187.76 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,187.76 | $2,951.21 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,073.80 Median $6,025.60 Typical High $13,489.63 | Facility | None | $4,073.80 | $6,025.60 | $13,489.63 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,691.53 | $2,691.53 |
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 $6,456.54 | Facility | None | $524.81 | $1,621.81 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,621.81 | $2,187.76 | $2,884.03 |
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 $1,479.11 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,479.11 | $1,819.70 | $3,019.95 |
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 $1,584.89 Median $1,659.59 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,584.89 | $1,659.59 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $331.13 Typical High $416.87 | Professional | 55 · Aftercare only | $316.23 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $218.78 Typical High $281.84 | Professional | 56 · Pre-op care only | $208.93 | $218.78 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,548.82 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,548.82 | $1,949.84 |
Where Louisiana sits
The same service costs 7.8 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· 21st of 51
$2,570
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.