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 $891.25 Median $2,951.21 Typical High $5,370.32 | Facility | None | $891.25 | $2,951.21 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,122.02 | Professional | None | $1,000.00 | $1,000.00 | $1,122.02 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,630.78 Median $5,011.87 Typical High $11,748.98 | Facility | None | $3,630.78 | $5,011.87 | $11,748.98 |
BCBS Louisiana Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,122.02 | Professional | None | $933.25 | $1,122.02 | $1,122.02 |
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 $933.25 Median $1,862.09 Typical High $5,248.07 | Facility | None | $933.25 | $1,862.09 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,258.93 | Professional | None | $645.65 | $758.58 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,288.25 | Professional | None | $588.84 | $776.25 | $1,288.25 |
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 $489.78 Median $501.19 Typical High $562.34 | Professional | 52 · Reduced service | $489.78 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $204.17 Typical High $223.87 | Professional | 53 · Discontinued | $199.53 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $758.58 Typical High $851.14 | Professional | 54 · Surgery only | $741.31 | $758.58 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $151.36 Typical High $169.82 | Professional | 55 · Aftercare only | $147.91 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $707.95 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $691.83 | $707.95 | $794.33 |
Where Louisiana sits
The same service costs 6.3 times more in Alaska than in Texas. 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· 19th of 51
$1,000
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.