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 $416.87 Median $1,288.25 Typical High $3,467.37 | Facility | None | $416.87 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $371.54 Typical High $416.87 | Professional | None | $363.08 | $371.54 | $416.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $5,370.32 | Facility | None | $1,548.82 | $2,398.83 | $5,370.32 |
BCBS Louisiana Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $436.52 | Professional | None | $354.81 | $436.52 | $436.52 |
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 $1,071.52 Typical High $2,511.89 | Facility | None | $524.81 | $1,071.52 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $316.23 Typical High $457.09 | Professional | None | $275.42 | $316.23 | $457.09 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $4,168.69 | Facility | None | $446.68 | $954.99 | $4,168.69 |
United Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $407.38 | Professional | None | $213.80 | $263.03 | $407.38 |
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 $181.97 Median $186.21 Typical High $208.93 | Professional | 52 · Reduced service | $181.97 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $74.13 Typical High $83.18 | Professional | 53 · Discontinued | $72.44 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $281.84 Typical High $309.03 | Professional | 54 · Surgery only | $275.42 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $56.23 Typical High $61.66 | Professional | 55 · Aftercare only | $54.95 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $37.15 Typical High $41.69 | Professional | 56 · Pre-op care only | $36.31 | $37.15 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $263.03 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $257.04 | $263.03 | $288.40 |
Where Louisiana sits
The same service costs 5.2 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
$372
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.