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 $512.86 Median $1,513.56 Typical High $3,548.13 | Facility | None | $512.86 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $741.31 | Professional | None | $489.78 | $691.83 | $741.31 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,754.40 | Facility | None | $1,513.56 | $2,511.89 | $5,754.40 |
BCBS Louisiana Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $831.76 | Professional | None | $489.78 | $588.84 | $831.76 |
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 $2,344.23 | Facility | None | $501.19 | $831.76 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $912.01 | Professional | None | $354.81 | $512.86 | $912.01 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $4,466.84 | Facility | None | $446.68 | $954.99 | $4,466.84 |
United Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $758.58 | Professional | None | $338.84 | $489.78 | $758.58 |
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 $245.47 Median $346.74 Typical High $371.54 | Professional | 52 · Reduced service | $245.47 | $346.74 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $138.04 Typical High $147.91 | Professional | 53 · Discontinued | $97.72 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $512.86 Typical High $549.54 | Professional | 54 · Surgery only | $371.54 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $102.33 Typical High $109.65 | Professional | 55 · Aftercare only | $74.13 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $69.18 Typical High $74.13 | Professional | 56 · Pre-op care only | $48.98 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $478.63 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $346.74 | $478.63 | $512.86 |
Where Louisiana sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 22nd of 51
$676
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.