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 $2,691.53 Typical High $3,890.45 | Facility | None | $676.08 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,659.59 | $1,737.80 | $1,905.46 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,570.88 Median $5,128.61 Typical High $10,471.29 | Facility | None | $4,570.88 | $5,128.61 | $10,471.29 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,548.82 | $1,905.46 | $1,905.46 |
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 $1,047.13 Typical High $1,621.81 | Facility | None | $524.81 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $2,089.30 | Professional | None | $1,202.26 | $1,348.96 | $2,089.30 |
United Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $2,951.21 | Facility | None | $446.68 | $741.31 | $2,951.21 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $2,089.30 | Professional | None | $977.24 | $1,230.27 | $2,089.30 |
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 $831.76 Median $851.14 Typical High $954.99 | Professional | 52 · Reduced service | $831.76 | $851.14 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $346.74 Typical High $380.19 | Professional | 53 · Discontinued | $338.84 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,288.25 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,258.93 | $1,288.25 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $257.04 Typical High $288.40 | Professional | 55 · Aftercare only | $251.19 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $173.78 Typical High $190.55 | Professional | 56 · Pre-op care only | $165.96 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,202.26 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,202.26 | $1,348.96 |
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· 16th of 51
$1,660
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.