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 $2,089.30 Median $2,454.71 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,454.71 | $2,691.53 |
BCBS 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 |
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 $1,318.26 Median $2,511.89 Typical High $3,019.95 | Professional | None | $1,318.26 | $2,511.89 | $3,019.95 |
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 $1,698.24 Median $2,818.38 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,818.38 | $3,548.13 |
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 $1,047.13 Median $1,230.27 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,047.13 | $1,230.27 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $501.19 Typical High $537.03 | Professional | 53 · Discontinued | $416.87 | $501.19 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,862.09 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,548.82 | $1,862.09 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $371.54 Typical High $407.38 | Professional | 55 · Aftercare only | $316.23 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $245.47 Typical High $269.15 | Professional | 56 · Pre-op care only | $208.93 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,737.80 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,737.80 | $1,905.46 |
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· 29th of 51
$2,291
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.