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 $446.68 Median $1,513.56 Typical High $3,548.13 | Facility | None | $446.68 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $549.54 | Professional | None | $363.08 | $416.87 | $549.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,513.56 Median $2,511.89 Typical High $5,623.41 | Facility | None | $1,513.56 | $2,511.89 | $5,623.41 |
BCBS Louisiana Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $562.34 | Professional | None | $346.74 | $426.58 | $562.34 |
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 $501.19 Median $831.76 Typical High $2,344.23 | Facility | None | $501.19 | $831.76 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $630.96 | Professional | None | $257.04 | $380.19 | $630.96 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $4,466.84 | Facility | None | $446.68 | $954.99 | $4,466.84 |
United Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $562.34 | Professional | None | $245.47 | $346.74 | $562.34 |
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 $181.97 Median $208.93 Typical High $263.03 | Professional | 52 · Reduced service | $181.97 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $83.18 Typical High $104.71 | Professional | 53 · Discontinued | $72.44 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $275.42 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $63.10 Typical High $79.43 | Professional | 55 · Aftercare only | $54.95 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $41.69 Typical High $52.48 | Professional | 56 · Pre-op care only | $36.31 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $295.12 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $257.04 | $295.12 | $363.08 |
Where Louisiana sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 23rd of 51
$417
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.