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 $2,818.38 Typical High $3,890.45 | Facility | None | $676.08 | $2,818.38 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,818.38 Typical High $3,162.28 | Professional | None | $2,754.23 | $2,818.38 | $3,162.28 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,754.23 | $3,311.31 | $3,311.31 |
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 $2,089.30 Median $2,398.83 Typical High $3,548.13 | Professional | None | $2,089.30 | $2,398.83 | $3,548.13 |
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 $1,659.59 Median $2,187.76 Typical High $3,467.37 | Professional | None | $1,659.59 | $2,187.76 | $3,467.37 |
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 $1,380.38 Median $1,412.54 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,380.38 | $1,412.54 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $562.34 Typical High $630.96 | Professional | 53 · Discontinued | $549.54 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,137.96 Typical High $2,344.23 | Professional | 54 · Surgery only | $2,089.30 | $2,137.96 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $426.58 Typical High $467.74 | Professional | 55 · Aftercare only | $416.87 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $281.84 Typical High $316.23 | Professional | 56 · Pre-op care only | $275.42 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $1,995.26 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,949.84 | $1,995.26 | $2,187.76 |
Where Louisiana sits
The same service costs 9.8 times more in Alaska than in Kentucky. 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· 22nd of 51
$2,754
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.