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 $676.08 Median $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,621.81 | $1,995.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,884.03 Median $5,011.87 Typical High $11,481.54 | Facility | None | $2,884.03 | $5,011.87 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,819.70 | $1,819.70 |
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 $645.65 Median $1,348.96 Typical High $4,786.30 | Facility | None | $645.65 | $1,348.96 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $2,041.74 | Professional | None | $851.14 | $1,318.26 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $2,290.87 | Professional | None | $977.24 | $1,479.11 | $2,290.87 |
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 $645.65 Median $794.33 Typical High $977.24 | Professional | 52 · Reduced service | $645.65 | $794.33 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $323.59 Typical High $389.05 | Professional | 53 · Discontinued | $263.03 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,202.26 Typical High $1,479.11 | Professional | 54 · Surgery only | $977.24 | $1,202.26 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $239.88 Typical High $295.12 | Professional | 55 · Aftercare only | $194.98 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $162.18 Typical High $194.98 | Professional | 56 · Pre-op care only | $131.83 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,122.02 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $912.01 | $1,122.02 | $1,380.38 |
Where Louisiana sits
The same service costs 6.8 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· 15th 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.