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 $3,235.94 Typical High $6,606.93 | Facility | None | $676.08 | $3,235.94 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $6,606.93 Median $6,760.83 Typical High $7,585.78 | Professional | None | $6,606.93 | $6,760.83 | $7,585.78 |
BCBS Louisiana Setting Professional Modifier None Typical Low $6,025.60 Median $7,244.36 Typical High $7,244.36 | Professional | None | $6,025.60 | $7,244.36 | $7,244.36 |
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 $524.81 Median $1,047.13 Typical High $1,621.81 | Facility | None | $524.81 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $8,511.38 | Professional | None | $4,570.88 | $5,248.07 | $8,511.38 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $3,090.30 Median $4,786.30 Typical High $8,317.64 | Professional | None | $3,090.30 | $4,786.30 | $8,317.64 |
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 $3,311.31 Median $3,388.44 Typical High $3,715.35 | Professional | 52 · Reduced service | $3,311.31 | $3,388.44 | $3,715.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,318.26 Median $1,348.96 Typical High $1,513.56 | Professional | 53 · Discontinued | $1,318.26 | $1,348.96 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4,897.79 Median $5,011.87 Typical High $5,623.41 | Professional | 54 · Surgery only | $4,897.79 | $5,011.87 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $977.24 Median $1,023.29 Typical High $1,122.02 | Professional | 55 · Aftercare only | $977.24 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $660.69 Median $676.08 Typical High $758.58 | Professional | 56 · Pre-op care only | $660.69 | $676.08 | $758.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $4,570.88 Median $4,677.35 Typical High $5,248.07 | Professional | 78 · Unplanned return to OR | $4,570.88 | $4,677.35 | $5,248.07 |
Where Louisiana sits
The same service costs 21.9 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· 21st of 51
$6,026
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.