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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $223.87 | Professional | None | $144.54 | $165.96 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $144.54 Typical High $147.91 | Professional | None | $48.98 | $144.54 | $147.91 |
BCBS Louisiana Setting Facility Modifier None Typical Low $109.65 Median $1,288.25 Typical High $2,884.03 | Facility | None | $109.65 | $1,288.25 | $2,884.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $229.09 | Professional | None | $144.54 | $177.83 | $229.09 |
Christus Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $316.23 Typical High $676.08 | Facility | None | $109.65 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $251.19 | Professional | None | $104.71 | $154.88 | $251.19 |
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 $97.72 Median $141.25 Typical High $229.09 | Professional | None | $97.72 | $141.25 | $229.09 |
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 $72.44 Median $83.18 Typical High $107.15 | Professional | 52 · Reduced service | $72.44 | $83.18 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.11 Typical High $42.66 | Professional | 53 · Discontinued | $28.84 | $33.11 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $125.89 Typical High $158.49 | Professional | 54 · Surgery only | $109.65 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $25.12 Typical High $31.62 | Professional | 55 · Aftercare only | $21.88 | $25.12 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $16.60 Typical High $21.38 | Professional | 56 · Pre-op care only | $14.45 | $16.60 | $21.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $117.49 Typical High $147.91 | Professional | 78 · Unplanned return to OR | $102.33 | $117.49 | $147.91 |
Where Louisiana sits
The same service costs 4.0 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· 26th of 51
$170
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.