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 $549.54 Median $1,862.09 Typical High $3,801.89 | Facility | None | $549.54 | $1,862.09 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $616.60 | Professional | None | $467.74 | $549.54 | $616.60 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,137.96 Median $3,548.13 Typical High $10,000.00 | Facility | None | $2,137.96 | $3,548.13 | $10,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $724.44 | Professional | None | $549.54 | $660.69 | $724.44 |
Christus Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,778.28 Typical High $3,715.35 | Facility | None | $588.84 | $1,778.28 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $549.54 Typical High $676.08 | Professional | None | $295.12 | $549.54 | $676.08 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,317.64 | Facility | None | $1,047.13 | $2,238.72 | $8,317.64 |
United Setting Professional Modifier None Typical Low $389.05 Median $616.60 Typical High $851.14 | Professional | None | $389.05 | $616.60 | $851.14 |
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 $229.09 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $93.33 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $407.38 Typical High $446.68 | Professional | 54 · Surgery only | $346.74 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $83.18 Typical High $89.13 | Professional | 55 · Aftercare only | $69.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $54.95 Typical High $60.26 | Professional | 56 · Pre-op care only | $46.77 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $380.19 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $323.59 | $380.19 | $416.87 |
Where Louisiana sits
The same service costs 5.5 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· 2nd of 51
$2,138
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.