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 $2,691.53 Typical High $3,890.45 | Facility | None | $676.08 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,479.11 | $1,819.70 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,412.54 | $1,548.82 |
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 $524.81 Median $1,047.13 Typical High $1,621.81 | Facility | None | $524.81 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,288.25 Typical High $1,659.59 | Professional | None | $741.31 | $1,288.25 | $1,659.59 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,905.46 | Professional | None | $870.96 | $1,174.90 | $1,905.46 |
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 $602.56 Median $741.31 Typical High $912.01 | Professional | 52 · Reduced service | $602.56 | $741.31 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $295.12 Typical High $363.08 | Professional | 53 · Discontinued | $239.88 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,122.02 Typical High $1,348.96 | Professional | 54 · Surgery only | $891.25 | $1,122.02 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $223.87 Typical High $269.15 | Professional | 55 · Aftercare only | $181.97 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $147.91 Typical High $181.97 | Professional | 56 · Pre-op care only | $120.23 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,047.13 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $831.76 | $1,047.13 | $1,258.93 |
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· 32nd of 51
$1,259
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.