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 $724.44 Median $2,570.40 Typical High $4,365.16 | Facility | None | $724.44 | $2,570.40 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $2,630.27 | Professional | None | $1,698.24 | $2,089.30 | $2,630.27 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $10,471.29 | Facility | None | $2,884.03 | $4,677.35 | $10,471.29 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $2,344.23 | Professional | None | $1,698.24 | $2,089.30 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $4,786.30 | Facility | None | $524.81 | $1,174.90 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,096.48 | $1,698.24 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,090.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,288.25 | $1,905.46 | $2,818.38 |
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 $851.14 Median $1,047.13 Typical High $1,288.25 | Professional | 52 · Reduced service | $851.14 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $416.87 Typical High $512.86 | Professional | 53 · Discontinued | $338.84 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,584.89 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,288.25 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $316.23 Typical High $389.05 | Professional | 55 · Aftercare only | $257.04 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $208.93 Typical High $257.04 | Professional | 56 · Pre-op care only | $169.82 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,479.11 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,479.11 | $1,819.70 |
Where Louisiana sits
The same service costs 7.1 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· 14th of 51
$2,512
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.