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 $891.25 Median $2,951.21 Typical High $5,370.32 | Facility | None | $891.25 | $2,951.21 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,698.24 Typical High $1,905.46 | Professional | None | $1,659.59 | $1,698.24 | $1,905.46 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,162.28 Median $5,011.87 Typical High $11,748.98 | Facility | None | $3,162.28 | $5,011.87 | $11,748.98 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,584.89 | $1,584.89 | $1,905.46 |
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 $933.25 Median $1,862.09 Typical High $5,248.07 | Facility | None | $933.25 | $1,862.09 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,288.25 Typical High $2,137.96 | Professional | None | $891.25 | $1,288.25 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,949.84 | Professional | None | $977.24 | $1,318.26 | $1,949.84 |
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 $831.76 Median $851.14 Typical High $954.99 | Professional | 52 · Reduced service | $831.76 | $851.14 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $338.84 Typical High $380.19 | Professional | 53 · Discontinued | $331.13 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,288.25 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,258.93 | $1,288.25 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $257.04 Typical High $288.40 | Professional | 55 · Aftercare only | $251.19 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $169.82 Typical High $190.55 | Professional | 56 · Pre-op care only | $165.96 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,202.26 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,202.26 | $1,348.96 |
Where Louisiana sits
The same service costs 5.5 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
$1,905
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.