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 $398.11 Median $1,513.56 Typical High $3,548.13 | Facility | None | $398.11 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $446.68 | Professional | None | $281.84 | $331.13 | $446.68 |
BCBS Louisiana Setting Facility Modifier None Typical Low $208.93 Median $467.74 Typical High $2,137.96 | Facility | None | $208.93 | $467.74 | $2,137.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $446.68 | Professional | None | $263.03 | $316.23 | $446.68 |
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 $208.93 Median $512.86 Typical High $933.25 | Facility | None | $208.93 | $512.86 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $501.19 | Professional | None | $199.53 | $281.84 | $501.19 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $524.81 | Professional | None | $213.80 | $338.84 | $524.81 |
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 $141.25 Median $162.18 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $64.57 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $239.88 Typical High $316.23 | Professional | 54 · Surgery only | $213.80 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $48.98 Typical High $63.10 | Professional | 55 · Aftercare only | $42.66 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $32.36 Typical High $42.66 | Professional | 56 · Pre-op care only | $28.18 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $223.87 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $199.53 | $223.87 | $295.12 |
Where Louisiana sits
The same service costs 3.7 times more in Wisconsin 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· 24th of 51
$355
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.