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 $524.81 Median $1,862.09 Typical High $3,715.35 | Facility | None | $524.81 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $1,412.54 Typical High $1,778.28 | Professional | None | $446.68 | $1,412.54 | $1,778.28 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,621.81 Median $3,090.30 Typical High $7,762.47 | Facility | None | $1,621.81 | $3,090.30 | $7,762.47 |
BCBS Louisiana Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $2,089.30 | Professional | None | $524.81 | $691.83 | $2,089.30 |
Christus Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $2,884.03 | Facility | None | $588.84 | $1,096.48 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $691.83 Typical High $1,905.46 | Professional | None | $389.05 | $691.83 | $1,905.46 |
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 $398.11 Median $1,202.26 Typical High $2,238.72 | Professional | None | $398.11 | $1,202.26 | $2,238.72 |
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 $223.87 Median $562.34 Typical High $891.25 | Professional | 52 · Reduced service | $223.87 | $562.34 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $223.87 Typical High $354.81 | Professional | 53 · Discontinued | $89.13 | $223.87 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $831.76 Typical High $1,318.26 | Professional | 54 · Surgery only | $331.13 | $831.76 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $169.82 Typical High $269.15 | Professional | 55 · Aftercare only | $66.07 | $169.82 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $112.20 Typical High $177.83 | Professional | 56 · Pre-op care only | $44.67 | $112.20 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $776.25 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $309.03 | $776.25 | $1,230.27 |
Where Louisiana sits
The same service costs 4.4 times more in Alaska than in Nebraska. 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
$1,549
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.