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 $512.86 Median $1,513.56 Typical High $3,548.13 | Facility | None | $512.86 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $676.08 | Professional | None | $457.09 | $524.81 | $676.08 |
BCBS Louisiana Setting Facility Modifier None Typical Low $239.88 Median $4,265.80 Typical High $10,000.00 | Facility | None | $239.88 | $4,265.80 | $10,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $691.83 | Professional | None | $426.58 | $537.03 | $691.83 |
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 $4,786.30 | Facility | None | $501.19 | $831.76 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $478.63 Typical High $776.25 | Professional | None | $323.59 | $478.63 | $776.25 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $7,244.36 | Facility | None | $851.14 | $1,548.82 | $7,244.36 |
United Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $707.95 | Professional | None | $309.03 | $446.68 | $707.95 |
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 $229.09 Median $263.03 Typical High $338.84 | Professional | 52 · Reduced service | $229.09 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $134.90 | Professional | 53 · Discontinued | $93.33 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $398.11 Typical High $501.19 | Professional | 54 · Surgery only | $346.74 | $398.11 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $79.43 Typical High $100.00 | Professional | 55 · Aftercare only | $69.18 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $52.48 Typical High $67.61 | Professional | 56 · Pre-op care only | $45.71 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $371.54 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $323.59 | $371.54 | $467.74 |
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· 23rd of 51
$525
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.