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 $398.11 Median $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $501.19 | Professional | None | $309.03 | $354.81 | $501.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $263.03 Median $1,380.38 Typical High $4,786.30 | Facility | None | $263.03 | $1,380.38 | $4,786.30 |
BCBS Louisiana Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $549.54 | Professional | None | $295.12 | $371.54 | $549.54 |
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 $281.84 Median $524.81 Typical High $1,174.90 | Facility | None | $281.84 | $524.81 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $616.60 | Professional | None | $223.87 | $354.81 | $616.60 |
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 $199.53 Median $309.03 Typical High $489.78 | Professional | None | $199.53 | $309.03 | $489.78 |
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 $154.88 Median $177.83 Typical High $251.19 | Professional | 52 · Reduced service | $154.88 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $70.79 Typical High $100.00 | Professional | 53 · Discontinued | $61.66 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $263.03 Typical High $380.19 | Professional | 54 · Surgery only | $234.42 | $263.03 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $52.48 Typical High $75.86 | Professional | 55 · Aftercare only | $46.77 | $52.48 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $35.48 Typical High $50.12 | Professional | 56 · Pre-op care only | $30.90 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $245.47 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $218.78 | $245.47 | $354.81 |
Where Louisiana sits
The same service costs 3.6 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· 29th of 51
$355
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.