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 $741.31 Median $1,862.09 Typical High $3,715.35 | Facility | None | $741.31 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,348.96 | Professional | None | $933.25 | $1,071.52 | $1,348.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $9,772.37 | Facility | None | $3,162.28 | $4,168.69 | $9,772.37 |
BCBS Louisiana Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,479.11 | Professional | None | $891.25 | $1,096.48 | $1,479.11 |
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 $4,786.30 | Facility | None | $524.81 | $1,071.52 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,445.44 | Professional | None | $575.44 | $851.14 | $1,445.44 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $7,244.36 | Facility | None | $851.14 | $1,548.82 | $7,244.36 |
United Setting Professional Modifier None Typical Low $630.96 Median $977.24 Typical High $1,479.11 | Professional | None | $630.96 | $977.24 | $1,479.11 |
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 $467.74 Median $537.03 Typical High $660.69 | Professional | 52 · Reduced service | $467.74 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $213.80 Typical High $263.03 | Professional | 53 · Discontinued | $186.21 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Professional | 54 · Surgery only | $707.95 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $162.18 Typical High $199.53 | Professional | 55 · Aftercare only | $141.25 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $107.15 Typical High $131.83 | Professional | 56 · Pre-op care only | $93.33 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $758.58 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $660.69 | $758.58 | $933.25 |
Where Louisiana sits
The same service costs 5.2 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· 16th of 51
$1,202
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.