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 $2,290.87 Median $2,691.53 Typical High $2,951.21 | Professional | None | $2,290.87 | $2,691.53 | $2,951.21 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,691.53 Median $3,311.31 Typical High $3,548.13 | Professional | None | $2,691.53 | $3,311.31 | $3,548.13 |
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 $1,445.44 Median $2,691.53 Typical High $3,311.31 | Professional | None | $1,445.44 | $2,691.53 | $3,311.31 |
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 $1,905.46 Median $2,951.21 Typical High $3,981.07 | Professional | None | $1,905.46 | $2,951.21 | $3,981.07 |
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 $1,148.15 Median $1,348.96 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,148.15 | $1,348.96 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $537.03 Typical High $588.84 | Professional | 53 · Discontinued | $457.09 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,041.74 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,698.24 | $2,041.74 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $407.38 Typical High $446.68 | Professional | 55 · Aftercare only | $338.84 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $269.15 Typical High $295.12 | Professional | 56 · Pre-op care only | $229.09 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,905.46 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,905.46 | $2,089.30 |
Where Louisiana sits
The same service costs 5.8 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· 33rd of 51
$2,399
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.