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 $389.05 Median $1,288.25 Typical High $3,467.37 | Facility | None | $389.05 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $416.87 | Professional | None | $251.19 | $281.84 | $416.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $295.12 Median $1,412.54 Typical High $6,165.95 | Facility | None | $295.12 | $1,412.54 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $467.74 | Professional | None | $251.19 | $302.00 | $467.74 |
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 $295.12 Median $478.63 Typical High $676.08 | Facility | None | $295.12 | $478.63 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $512.86 | Professional | None | $186.21 | $288.40 | $512.86 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,388.44 | Facility | None | $446.68 | $954.99 | $3,388.44 |
United Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $398.11 | Professional | None | $162.18 | $245.47 | $398.11 |
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 $125.89 Median $141.25 Typical High $208.93 | Professional | 52 · Reduced service | $125.89 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $83.18 | Professional | 53 · Discontinued | $50.12 | $56.23 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $208.93 Typical High $309.03 | Professional | 54 · Surgery only | $186.21 | $208.93 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $42.66 Typical High $61.66 | Professional | 55 · Aftercare only | $37.15 | $42.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $28.18 Typical High $41.69 | Professional | 56 · Pre-op care only | $25.12 | $28.18 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $194.98 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $173.78 | $194.98 | $288.40 |
Where Louisiana sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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
$302
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.