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 $1,479.11 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,479.11 | $1,737.80 | $1,905.46 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $2,238.72 | Professional | None | $1,737.80 | $2,089.30 | $2,238.72 |
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 $933.25 Median $1,737.80 Typical High $2,137.96 | Professional | None | $933.25 | $1,737.80 | $2,137.96 |
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 $1,174.90 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,862.09 | $2,511.89 |
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 $724.44 Median $870.96 Typical High $954.99 | Professional | 52 · Reduced service | $724.44 | $870.96 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $346.74 Typical High $380.19 | Professional | 53 · Discontinued | $295.12 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,318.26 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,096.48 | $1,318.26 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $263.03 Typical High $288.40 | Professional | 55 · Aftercare only | $218.78 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $173.78 Typical High $190.55 | Professional | 56 · Pre-op care only | $147.91 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,230.27 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,230.27 | $1,318.26 |
Where Louisiana sits
The same service costs 4.8 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· 32nd of 51
$1,698
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.