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 $2,511.89 Median $2,570.40 Typical High $2,884.03 | Professional | None | $2,511.89 | $2,570.40 | $2,884.03 |
BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,344.23 | $2,818.38 | $2,818.38 |
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 $1,778.28 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,778.28 | $2,041.74 | $3,019.95 |
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 $1,479.11 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,479.11 | $1,905.46 | $3,235.94 |
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 $1,258.93 Median $1,288.25 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,258.93 | $1,288.25 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $512.86 Typical High $575.44 | Professional | 53 · Discontinued | $501.19 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,949.84 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,862.09 | $1,949.84 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $389.05 Typical High $426.58 | Professional | 55 · Aftercare only | $380.19 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $257.04 Typical High $288.40 | Professional | 56 · Pre-op care only | $251.19 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,819.70 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,819.70 | $1,995.26 |
Where Louisiana sits
The same service costs 5.4 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
$2,455
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.