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 $190.55 Median $1,318.26 Typical High $3,715.35 | Facility | None | $190.55 | $1,318.26 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $316.23 | Professional | None | $128.82 | $204.17 | $316.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $97.72 Median $169.82 Typical High $263.03 | Facility | None | $97.72 | $169.82 | $263.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $316.23 | Professional | None | $147.91 | $199.53 | $316.23 |
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 $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $354.81 | Professional | None | $109.65 | $199.53 | $354.81 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $107.15 Median $190.55 Typical High $363.08 | Professional | None | $107.15 | $190.55 | $363.08 |
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 $64.57 Median $97.72 Typical High $154.88 | Professional | 52 · Reduced service | $64.57 | $97.72 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $38.90 Typical High $63.10 | Professional | 53 · Discontinued | $25.70 | $38.90 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $144.54 Typical High $234.42 | Professional | 54 · Surgery only | $95.50 | $144.54 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $28.84 Typical High $46.77 | Professional | 55 · Aftercare only | $19.05 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $19.50 Typical High $31.62 | Professional | 56 · Pre-op care only | $12.88 | $19.50 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $134.90 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $89.13 | $134.90 | $218.78 |
Where Louisiana sits
The same service costs 4.5 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· 34th of 51
$195
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.