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 $3,235.94 Typical High $4,466.84 | Facility | None | $676.08 | $3,235.94 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $4,897.79 | Professional | None | $3,801.89 | $4,466.84 | $4,897.79 |
BCBS Louisiana Setting Professional Modifier None Typical Low $4,466.84 Median $5,370.32 Typical High $5,754.40 | Professional | None | $4,466.84 | $5,370.32 | $5,754.40 |
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 $2,398.83 Median $4,466.84 Typical High $5,370.32 | Professional | None | $2,398.83 | $4,466.84 | $5,370.32 |
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 $2,691.53 Median $4,466.84 Typical High $6,456.54 | Professional | None | $2,691.53 | $4,466.84 | $6,456.54 |
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 $1,905.46 Median $2,238.72 Typical High $2,454.71 | Professional | 52 · Reduced service | $1,905.46 | $2,238.72 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $891.25 Typical High $977.24 | Professional | 53 · Discontinued | $758.58 | $891.25 | $977.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $3,388.44 Typical High $3,715.35 | Professional | 54 · Surgery only | $2,818.38 | $3,388.44 | $3,715.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $676.08 Typical High $741.31 | Professional | 55 · Aftercare only | $562.34 | $676.08 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $446.68 Typical High $489.78 | Professional | 56 · Pre-op care only | $380.19 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,630.27 Median $3,162.28 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $2,630.27 | $3,162.28 | $3,467.37 |
Where Louisiana sits
The same service costs 6.3 times more in Alaska than in Arkansas. 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· 31st of 51
$3,802
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.