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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $302.00 | Professional | None | $120.23 | $199.53 | $302.00 |
BCBS Louisiana Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $575.44 | Facility | None | $134.90 | $208.93 | $575.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $281.84 | Professional | None | $131.83 | $181.97 | $281.84 |
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 $112.20 Typical High $218.78 | Facility | None | $75.86 | $112.20 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $177.83 Typical High $316.23 | Professional | None | $100.00 | $177.83 | $316.23 |
United Setting Facility Modifier None Typical Low $91.20 Median $354.81 Typical High $1,202.26 | Facility | None | $91.20 | $354.81 | $1,202.26 |
United Setting Professional Modifier None Typical Low $97.72 Median $169.82 Typical High $295.12 | Professional | None | $97.72 | $169.82 | $295.12 |
7 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 $60.26 Median $91.20 Typical High $151.36 | Professional | 52 · Reduced service | $60.26 | $91.20 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $37.15 Typical High $60.26 | Professional | 53 · Discontinued | $23.99 | $37.15 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $138.04 Typical High $223.87 | Professional | 54 · Surgery only | $91.20 | $138.04 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $27.54 Typical High $45.71 | Professional | 55 · Aftercare only | $18.20 | $27.54 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $18.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $12.02 | $18.20 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $128.82 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $85.11 | $128.82 | $208.93 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 50 · Both sides | $70.79 | $70.79 | $70.79 |
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· 29th of 51
$191
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.