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 $2,454.71 Typical High $4,365.16 | Facility | None | $724.44 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $2,454.71 | Professional | None | $2,137.96 | $2,187.76 | $2,454.71 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,995.26 | $2,398.83 | $2,398.83 |
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 $1,513.56 Median $1,737.80 Typical High $2,511.89 | Professional | None | $1,513.56 | $1,737.80 | $2,511.89 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,621.81 | $2,570.40 |
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 $1,071.52 Median $1,096.48 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,071.52 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $436.52 Typical High $489.78 | Professional | 53 · Discontinued | $426.58 | $436.52 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,659.59 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,621.81 | $1,659.59 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $331.13 Typical High $371.54 | Professional | 55 · Aftercare only | $323.59 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $218.78 Typical High $245.47 | Professional | 56 · Pre-op care only | $213.80 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,548.82 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,548.82 | $1,698.24 |
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· 16th of 51
$2,138
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.