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 $1,513.56 Typical High $3,467.37 | Facility | None | $398.11 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $457.09 | Professional | None | $309.03 | $354.81 | $457.09 |
BCBS Louisiana Setting Facility Modifier None Typical Low $154.88 Median $1,412.54 Typical High $4,677.35 | Facility | None | $154.88 | $1,412.54 | $4,677.35 |
BCBS Louisiana Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $489.78 | Professional | None | $302.00 | $363.08 | $489.78 |
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 $741.31 Typical High $1,148.15 | Facility | None | $501.19 | $741.31 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $537.03 | Professional | None | $218.78 | $323.59 | $537.03 |
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 $204.17 Median $295.12 Typical High $467.74 | Professional | None | $204.17 | $295.12 | $467.74 |
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 $218.78 | Professional | 52 · Reduced service | $154.88 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $70.79 Typical High $89.13 | Professional | 53 · Discontinued | $61.66 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $269.15 Typical High $331.13 | Professional | 54 · Surgery only | $234.42 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $53.70 Typical High $66.07 | Professional | 55 · Aftercare only | $46.77 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $35.48 Typical High $43.65 | Professional | 56 · Pre-op care only | $30.90 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $251.19 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $218.78 | $251.19 | $309.03 |
Where Louisiana sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$363
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.