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 $398.11 Median $2,511.89 Typical High $3,890.45 | Facility | None | $398.11 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $275.42 Typical High $426.58 | Professional | None | $245.47 | $275.42 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $281.84 Median $794.33 Typical High $4,168.69 | Facility | None | $281.84 | $794.33 | $4,168.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $478.63 | Professional | None | $239.88 | $288.40 | $478.63 |
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 $323.59 Median $588.84 Typical High $1,174.90 | Facility | None | $323.59 | $588.84 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $501.19 | Professional | None | $181.97 | $302.00 | $501.19 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,187.76 | Facility | None | $275.42 | $630.96 | $2,187.76 |
United Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $354.81 | Professional | None | $141.25 | $223.87 | $354.81 |
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 $123.03 Median $138.04 Typical High $213.80 | Professional | 52 · Reduced service | $123.03 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $85.11 | Professional | 53 · Discontinued | $48.98 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $208.93 Typical High $316.23 | Professional | 54 · Surgery only | $181.97 | $208.93 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $41.69 Typical High $63.10 | Professional | 55 · Aftercare only | $36.31 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $27.54 Typical High $42.66 | Professional | 56 · Pre-op care only | $24.55 | $27.54 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $194.98 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $169.82 | $194.98 | $295.12 |
Where Louisiana sits
The same service costs 4.5 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· 25th of 51
$288
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.