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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $812.83 Typical High $912.01 | Professional | None | $794.33 | $812.83 | $912.01 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $5,754.40 | Facility | None | $1,548.82 | $2,454.71 | $5,754.40 |
BCBS Louisiana Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $912.01 | Professional | None | $758.58 | $912.01 | $912.01 |
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 $501.19 Median $831.76 Typical High $2,290.87 | Facility | None | $501.19 | $831.76 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $977.24 | Professional | None | $575.44 | $660.69 | $977.24 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Facility | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $467.74 Median $575.44 Typical High $954.99 | Professional | None | $467.74 | $575.44 | $954.99 |
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 $398.11 Median $407.38 Typical High $457.09 | Professional | 52 · Reduced service | $398.11 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $162.18 Typical High $181.97 | Professional | 53 · Discontinued | $158.49 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $616.60 Typical High $676.08 | Professional | 54 · Surgery only | $602.56 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $123.03 Typical High $134.90 | Professional | 55 · Aftercare only | $120.23 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $81.28 Typical High $91.20 | Professional | 56 · Pre-op care only | $79.43 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $575.44 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $562.34 | $575.44 | $630.96 |
Where Louisiana sits
The same service costs 5.5 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
$794
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.