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 $169.82 Median $2,511.89 Typical High $3,890.45 | Facility | None | $169.82 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $251.19 | Professional | None | $112.20 | $165.96 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
BCBS Louisiana Setting Facility Modifier None Typical Low $114.82 Median $1,288.25 Typical High $2,884.03 | Facility | None | $114.82 | $1,288.25 | $2,884.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $229.09 | Professional | None | $123.03 | $158.49 | $229.09 |
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 $125.89 Median $316.23 Typical High $676.08 | Facility | None | $125.89 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $263.03 | Professional | None | $95.50 | $144.54 | $263.03 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Facility | None | $446.68 | $954.99 | $3,388.44 |
United Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $245.47 | Professional | None | $93.33 | $147.91 | $245.47 |
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 $56.23 Median $83.18 Typical High $125.89 | Professional | 52 · Reduced service | $56.23 | $83.18 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $33.11 Typical High $50.12 | Professional | 53 · Discontinued | $22.39 | $33.11 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $125.89 Typical High $186.21 | Professional | 54 · Surgery only | $85.11 | $125.89 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $25.12 Typical High $37.15 | Professional | 55 · Aftercare only | $16.98 | $25.12 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $16.60 Typical High $25.12 | Professional | 56 · Pre-op care only | $11.22 | $16.60 | $25.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $117.49 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $79.43 | $117.49 | $173.78 |
Where Louisiana sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 23rd of 51
$174
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.