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 $4,897.79 | Facility | None | $676.08 | $3,235.94 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $5,370.32 | Professional | None | $4,073.80 | $4,897.79 | $5,370.32 |
BCBS Louisiana Setting Professional Modifier None Typical Low $4,786.30 Median $6,165.95 Typical High $6,309.57 | Professional | None | $4,786.30 | $6,165.95 | $6,309.57 |
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 $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $4,786.30 Typical High $5,888.44 | Professional | None | $2,570.40 | $4,786.30 | $5,888.44 |
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 $3,388.44 Median $5,495.41 Typical High $7,413.10 | Professional | None | $3,388.44 | $5,495.41 | $7,413.10 |
4 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 $2,041.74 Median $2,454.71 Typical High $2,691.53 | Professional | 52 · Reduced service | $2,041.74 | $2,454.71 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $977.24 Typical High $1,071.52 | Professional | 53 · Discontinued | $812.83 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $3,630.78 Typical High $3,981.07 | Professional | 54 · Surgery only | $3,090.30 | $3,630.78 | $3,981.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,884.03 Median $3,388.44 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $2,884.03 | $3,388.44 | $3,715.35 |
Where Louisiana sits
The same service costs 7.6 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· 33rd of 51
$4,074
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.