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 $323.59 Median $2,630.27 Typical High $5,495.41 | Facility | None | $323.59 | $2,630.27 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $323.59 | Professional | None | $245.47 | $288.40 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | None | $141.25 | $141.25 | $151.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $5,888.44 | Facility | None | $1,288.25 | $2,511.89 | $5,888.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | None | $281.84 | $346.74 | $346.74 |
Christus Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,258.93 Typical High $2,630.27 | Facility | None | $645.65 | $1,258.93 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $380.19 | Professional | None | $199.53 | $234.42 | $380.19 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,025.60 | Facility | None | $851.14 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $371.54 | Professional | None | $169.82 | $218.78 | $371.54 |
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 $141.25 Median $144.54 Typical High $162.18 | Professional | 52 · Reduced service | $141.25 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $218.78 Typical High $239.88 | Professional | 54 · Surgery only | $213.80 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $43.65 Typical High $47.86 | Professional | 55 · Aftercare only | $42.66 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.84 Typical High $32.36 | Professional | 56 · Pre-op care only | $28.18 | $28.84 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $204.17 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $199.53 | $204.17 | $223.87 |
Where Louisiana sits
The same service costs 5.6 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· 21st of 51
$302
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.