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 $1,148.15 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,148.15 | $1,348.96 | $1,479.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $6,918.31 | Facility | None | $2,290.87 | $2,884.03 | $6,918.31 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,348.96 | $1,737.80 | $1,737.80 |
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 $1,071.52 Typical High $2,691.53 | Facility | None | $524.81 | $1,071.52 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $1,621.81 | Professional | None | $724.44 | $1,348.96 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,137.96 | Professional | None | $912.01 | $1,445.44 | $2,137.96 |
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 $575.44 Median $676.08 Typical High $741.31 | Professional | 52 · Reduced service | $575.44 | $676.08 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $269.15 Typical High $295.12 | Professional | 53 · Discontinued | $229.09 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,023.29 Typical High $1,122.02 | Professional | 54 · Surgery only | $851.14 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $204.17 Typical High $223.87 | Professional | 55 · Aftercare only | $169.82 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $134.90 Typical High $147.91 | Professional | 56 · Pre-op care only | $114.82 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $954.99 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $794.33 | $954.99 | $1,047.13 |
Where Louisiana sits
The same service costs 4.6 times more in Wisconsin 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· 15th of 51
$1,820
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.