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 $2,951.21 Typical High $3,890.45 | Facility | None | $676.08 | $2,951.21 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $3,235.94 | Professional | None | $2,454.71 | $2,951.21 | $3,235.94 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $3,801.89 | Professional | None | $2,884.03 | $3,715.35 | $3,801.89 |
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 $1,548.82 Median $2,951.21 Typical High $3,548.13 | Professional | None | $1,548.82 | $2,951.21 | $3,548.13 |
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 $2,041.74 Median $3,388.44 Typical High $4,365.16 | Professional | None | $2,041.74 | $3,388.44 | $4,365.16 |
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 $1,230.27 Median $1,479.11 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,230.27 | $1,479.11 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $588.84 Typical High $645.65 | Professional | 53 · Discontinued | $501.19 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,238.72 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,862.09 | $2,238.72 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $446.68 Typical High $478.63 | Professional | 55 · Aftercare only | $371.54 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $295.12 Typical High $323.59 | Professional | 56 · Pre-op care only | $245.47 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,089.30 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,089.30 | $2,238.72 |
Where Louisiana sits
The same service costs 5.4 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
$2,570
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.