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 $1,819.70 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,819.70 | $2,137.96 | $2,344.23 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $2,818.38 | Professional | None | $2,137.96 | $2,570.40 | $2,818.38 |
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 $1,148.15 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,148.15 | $2,137.96 | $2,630.27 |
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 $1,445.44 Median $2,454.71 Typical High $3,235.94 | Professional | None | $1,445.44 | $2,454.71 | $3,235.94 |
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 $891.25 Median $1,071.52 Typical High $1,174.90 | Professional | 52 · Reduced service | $891.25 | $1,071.52 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $426.58 Typical High $467.74 | Professional | 53 · Discontinued | $363.08 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,621.81 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,348.96 | $1,621.81 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $323.59 Typical High $346.74 | Professional | 55 · Aftercare only | $269.15 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $213.80 Typical High $234.42 | Professional | 56 · Pre-op care only | $181.97 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,513.56 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,513.56 | $1,621.81 |
Where Louisiana sits
The same service costs 6.0 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· 30th of 51
$2,089
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.