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 $2,818.38 Typical High $3,890.45 | Facility | None | $676.08 | $2,818.38 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $3,090.30 | Professional | None | $2,344.23 | $2,818.38 | $3,090.30 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,818.38 | $3,630.78 | $3,630.78 |
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 $1,513.56 Median $2,754.23 Typical High $3,388.44 | Professional | None | $1,513.56 | $2,754.23 | $3,388.44 |
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 $1,995.26 Median $3,235.94 Typical High $4,168.69 | Professional | None | $1,995.26 | $3,235.94 | $4,168.69 |
2 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 54 · Surgery only Typical Low $1,778.28 Median $2,089.30 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,778.28 | $2,089.30 | $2,290.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,949.84 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,949.84 | $2,137.96 |
Where Louisiana sits
The same service costs 5.5 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· 31st 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.