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 $616.60 Median $1,862.09 Typical High $3,715.35 | Facility | None | $616.60 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $741.31 | Professional | None | $524.81 | $645.65 | $741.31 |
BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $3,090.30 Typical High $6,918.31 | Facility | None | $1,548.82 | $3,090.30 | $6,918.31 |
BCBS Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $954.99 | Professional | None | $645.65 | $812.83 | $954.99 |
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 $389.05 Median $616.60 Typical High $891.25 | Professional | None | $389.05 | $616.60 | $891.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,165.95 | Facility | None | $851.14 | $1,548.82 | $6,165.95 |
United Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $977.24 | Professional | None | $457.09 | $630.96 | $977.24 |
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 $263.03 Median $275.42 Typical High $363.08 | Professional | 52 · Reduced service | $263.03 | $275.42 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $109.65 Typical High $144.54 | Professional | 53 · Discontinued | $104.71 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $416.87 Typical High $537.03 | Professional | 54 · Surgery only | $398.11 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $83.18 Typical High $107.15 | Professional | 55 · Aftercare only | $79.43 | $83.18 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $54.95 Typical High $72.44 | Professional | 56 · Pre-op care only | $52.48 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $389.05 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $371.54 | $389.05 | $501.19 |
Where Louisiana sits
The same service costs 5.4 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
$955
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.