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 $380.19 Median $1,584.89 Typical High $1,995.26 | Professional | None | $380.19 | $1,584.89 | $1,995.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $6,606.93 | Facility | None | $1,905.46 | $2,818.38 | $6,606.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $2,454.71 | Professional | None | $457.09 | $602.56 | $2,454.71 |
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 $588.84 Median $1,096.48 Typical High $2,691.53 | Facility | None | $588.84 | $1,096.48 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $602.56 Typical High $2,187.76 | Professional | None | $338.84 | $602.56 | $2,187.76 |
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 $346.74 Median $1,230.27 Typical High $2,344.23 | Professional | None | $346.74 | $1,230.27 | $2,344.23 |
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 $190.55 Median $645.65 Typical High $1,000.00 | Professional | 52 · Reduced service | $190.55 | $645.65 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $263.03 Typical High $398.11 | Professional | 53 · Discontinued | $77.62 | $263.03 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $977.24 Typical High $1,479.11 | Professional | 54 · Surgery only | $288.40 | $977.24 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $194.98 Typical High $295.12 | Professional | 55 · Aftercare only | $57.54 | $194.98 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $128.82 Typical High $199.53 | Professional | 56 · Pre-op care only | $38.02 | $128.82 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $912.01 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $269.15 | $912.01 | $1,380.38 |
Where Louisiana sits
The same service costs 5.8 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· 13th 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.