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 $724.44 Median $2,691.53 Typical High $4,786.30 | Facility | None | $724.44 | $2,691.53 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,089.30 | Professional | None | $1,819.70 | $1,862.09 | $2,089.30 |
BCBS Louisiana Setting Facility Modifier None Typical Low $6,918.31 Median $9,120.11 Typical High $17,378.01 | Facility | None | $6,918.31 | $9,120.11 | $17,378.01 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,698.24 | $2,041.74 | $2,041.74 |
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 $8,128.31 | Facility | None | $524.81 | $1,071.52 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,479.11 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $7,762.47 Typical High $18,620.87 | Facility | None | $1,621.81 | $7,762.47 | $18,620.87 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,290.87 | Professional | None | $1,023.29 | $1,348.96 | $2,290.87 |
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 $912.01 Median $933.25 Typical High $1,047.13 | Professional | 52 · Reduced service | $912.01 | $933.25 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $371.54 Typical High $416.87 | Professional | 53 · Discontinued | $363.08 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,412.54 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,348.96 | $1,412.54 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $281.84 Typical High $309.03 | Professional | 55 · Aftercare only | $275.42 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $186.21 Typical High $208.93 | Professional | 56 · Pre-op care only | $181.97 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,318.26 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,318.26 | $1,445.44 |
Where Louisiana sits
The same service costs 25.7 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
$1,820
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.