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 $812.83 Median $2,691.53 Typical High $5,248.07 | Facility | None | $812.83 | $2,691.53 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,258.93 | Professional | None | $1,096.48 | $1,122.02 | $1,258.93 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,570.88 Median $5,128.61 Typical High $16,595.87 | Facility | None | $4,570.88 | $5,128.61 | $16,595.87 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,023.29 | $1,258.93 | $1,258.93 |
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 $707.95 Median $1,548.82 Typical High $4,786.30 | Facility | None | $707.95 | $1,548.82 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,348.96 | Professional | None | $776.25 | $891.25 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,801.89 | $12,589.25 |
United Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,412.54 | Professional | None | $645.65 | $831.76 | $1,412.54 |
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 $549.54 Median $562.34 Typical High $630.96 | Professional | 52 · Reduced service | $549.54 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $218.78 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $831.76 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $169.82 Typical High $190.55 | Professional | 55 · Aftercare only | $165.96 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $112.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $109.65 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $794.33 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $776.25 | $794.33 | $870.96 |
Where Louisiana sits
The same service costs 25.1 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· 18th of 51
$1,122
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.