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 $1,513.56 Typical High $3,548.13 | Facility | None | $524.81 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $691.83 | Professional | None | $501.19 | $562.34 | $691.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,230.27 Median $2,187.76 Typical High $5,011.87 | Facility | None | $1,230.27 | $2,187.76 | $5,011.87 |
BCBS Louisiana Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $891.25 | Professional | None | $602.56 | $776.25 | $891.25 |
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 $501.19 Median $831.76 Typical High $2,187.76 | Facility | None | $501.19 | $831.76 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $851.14 | Professional | None | $371.54 | $575.44 | $851.14 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Facility | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $954.99 | Professional | None | $426.58 | $588.84 | $954.99 |
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 $251.19 Median $263.03 Typical High $338.84 | Professional | 52 · Reduced service | $251.19 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $104.71 Typical High $138.04 | Professional | 53 · Discontinued | $100.00 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $389.05 Typical High $512.86 | Professional | 54 · Surgery only | $371.54 | $389.05 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $77.62 Typical High $102.33 | Professional | 55 · Aftercare only | $74.13 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $52.48 Typical High $69.18 | Professional | 56 · Pre-op care only | $50.12 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $363.08 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $346.74 | $363.08 | $478.63 |
Where Louisiana sits
The same service costs 5.5 times more in Alaska than in Utah. 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· 17th of 51
$891
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.