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 $724.44 Median $2,290.87 Typical High $4,365.16 | Facility | None | $724.44 | $2,290.87 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,862.09 | $2,290.87 |
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 $1,548.82 Median $1,905.46 Typical High $2,398.83 | Professional | None | $1,548.82 | $1,905.46 | $2,398.83 |
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 $707.95 Median $1,513.56 Typical High $4,786.30 | Facility | None | $707.95 | $1,513.56 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $2,691.53 | Professional | None | $1,096.48 | $1,584.89 | $2,691.53 |
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 $1,122.02 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,122.02 | $1,698.24 | $2,454.71 |
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 $933.25 Typical High $1,096.48 | Professional | 52 · Reduced service | $831.76 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $380.19 Typical High $436.52 | Professional | 53 · Discontinued | $331.13 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,412.54 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,230.27 | $1,412.54 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $281.84 Typical High $331.13 | Professional | 55 · Aftercare only | $245.47 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $186.21 Typical High $218.78 | Professional | 56 · Pre-op care only | $165.96 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,318.26 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,318.26 | $1,548.82 |
Where Louisiana sits
The same service costs 5.2 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· 17th of 51
$2,042
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.