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 $549.54 Median $2,398.83 Typical High $3,890.45 | Facility | None | $549.54 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $371.54 | Professional | None | $331.13 | $338.84 | $371.54 |
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 $323.59 Median $398.11 Typical High $398.11 | Professional | None | $323.59 | $398.11 | $398.11 |
Christus Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
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 $229.09 Median $275.42 Typical High $446.68 | Professional | None | $229.09 | $275.42 | $446.68 |
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 $199.53 Median $257.04 Typical High $436.52 | Professional | None | $199.53 | $257.04 | $436.52 |
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 $165.96 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $251.19 Typical High $281.84 | Professional | 54 · Surgery only | $245.47 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $50.12 Typical High $56.23 | Professional | 55 · Aftercare only | $48.98 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.88 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.11 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $234.42 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $229.09 | $234.42 | $263.03 |
Where Louisiana sits
The same service costs 6.0 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· 19th of 51
$355
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.