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 $831.76 Median $977.24 Typical High $1,071.52 | Professional | None | $831.76 | $977.24 | $1,071.52 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $8,128.31 | Facility | None | $2,290.87 | $2,884.03 | $8,128.31 |
BCBS Louisiana Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,348.96 | Professional | None | $954.99 | $1,122.02 | $1,348.96 |
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 $549.54 Median $891.25 Typical High $1,258.93 | Professional | None | $549.54 | $891.25 | $1,258.93 |
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 $562.34 Median $851.14 Typical High $1,479.11 | Professional | None | $562.34 | $851.14 | $1,479.11 |
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 $416.87 Median $489.78 Typical High $537.03 | Professional | 52 · Reduced service | $416.87 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $194.98 Typical High $213.80 | Professional | 53 · Discontinued | $165.96 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $724.44 Typical High $794.33 | Professional | 54 · Surgery only | $630.96 | $724.44 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $147.91 Typical High $158.49 | Professional | 55 · Aftercare only | $125.89 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $97.72 Typical High $107.15 | Professional | 56 · Pre-op care only | $83.18 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $676.08 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $588.84 | $676.08 | $741.31 |
Where Louisiana sits
The same service costs 6.8 times more in Oklahoma than in Kentucky. 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· 11th of 51
$1,585
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.