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 $3,090.30 Typical High $3,890.45 | Facility | None | $676.08 | $3,090.30 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $3,388.44 | Professional | None | $2,630.27 | $3,090.30 | $3,388.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $3,981.07 | Professional | None | $3,019.95 | $3,801.89 | $3,981.07 |
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 $1,621.81 Median $3,019.95 Typical High $3,715.35 | Professional | None | $1,621.81 | $3,019.95 | $3,715.35 |
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 $2,137.96 Median $3,548.13 Typical High $4,677.35 | Professional | None | $2,137.96 | $3,548.13 | $4,677.35 |
2 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 54 · Surgery only Typical Low $1,949.84 Median $2,344.23 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,949.84 | $2,344.23 | $2,570.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,187.76 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,187.76 | $2,398.83 |
Where Louisiana sits
The same service costs 6.3 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
$2,692
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.