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 $676.08 Median $2,454.71 Typical High $4,365.16 | Facility | None | $676.08 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,096.48 | Professional | None | $912.01 | $1,000.00 | $1,096.48 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,162.28 Median $3,548.13 Typical High $10,000.00 | Facility | None | $3,162.28 | $3,548.13 | $10,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,174.90 | Professional | None | $977.24 | $1,174.90 | $1,174.90 |
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 $707.95 Median $1,513.56 Typical High $4,786.30 | Facility | None | $707.95 | $1,513.56 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $1,318.26 | Professional | None | $676.08 | $794.33 | $1,318.26 |
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 $602.56 Median $758.58 Typical High $1,318.26 | Professional | None | $602.56 | $758.58 | $1,318.26 |
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 $549.54 | Professional | 52 · Reduced service | $489.78 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $199.53 Typical High $223.87 | Professional | 53 · Discontinued | $194.98 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | 54 · Surgery only | $741.31 | $741.31 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $165.96 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $100.00 Typical High $109.65 | Professional | 56 · Pre-op care only | $97.72 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $776.25 |
Where Louisiana sits
The same service costs 6.2 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· 20th 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.