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 $295.12 Median $1,288.25 Typical High $3,467.37 | Facility | None | $295.12 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $323.59 | Professional | None | $154.88 | $208.93 | $323.59 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $602.56 | Facility | None | $144.54 | $269.15 | $602.56 |
BCBS Louisiana Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $354.81 | Professional | None | $151.36 | $229.09 | $354.81 |
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 $141.25 Median $331.13 Typical High $676.08 | Facility | None | $141.25 | $331.13 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $208.93 Typical High $389.05 | Professional | None | $114.82 | $208.93 | $389.05 |
United Setting Facility Modifier None Typical Low $91.20 Median $354.81 Typical High $1,202.26 | Facility | None | $91.20 | $354.81 | $1,202.26 |
United Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $316.23 | Professional | None | $104.71 | $194.98 | $316.23 |
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 $77.62 Median $100.00 Typical High $151.36 | Professional | 52 · Reduced service | $77.62 | $100.00 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $40.74 Typical High $61.66 | Professional | 53 · Discontinued | $30.90 | $40.74 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $151.36 Typical High $229.09 | Professional | 54 · Surgery only | $114.82 | $151.36 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $30.20 Typical High $45.71 | Professional | 55 · Aftercare only | $23.44 | $30.20 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $19.95 Typical High $30.90 | Professional | 56 · Pre-op care only | $15.49 | $19.95 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $141.25 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $107.15 | $141.25 | $213.80 |
Where Louisiana sits
The same service costs 3.5 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· 29th of 51
$209
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.