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 $616.60 Median $2,691.53 Typical High $3,890.45 | Facility | None | $616.60 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $630.96 Typical High $707.95 | Professional | None | $616.60 | $630.96 | $707.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $707.95 | Professional | None | $575.44 | $707.95 | $707.95 |
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 $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $812.83 | Professional | None | $436.52 | $501.19 | $812.83 |
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 $363.08 Median $467.74 Typical High $812.83 | Professional | None | $363.08 | $467.74 | $812.83 |
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 $309.03 Median $316.23 Typical High $354.81 | Professional | 52 · Reduced service | $309.03 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $128.82 Typical High $141.25 | Professional | 53 · Discontinued | $123.03 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $478.63 Typical High $537.03 | Professional | 54 · Surgery only | $467.74 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $95.50 Typical High $107.15 | Professional | 55 · Aftercare only | $93.33 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $63.10 Typical High $70.79 | Professional | 56 · Pre-op care only | $61.66 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $446.68 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $436.52 | $446.68 | $501.19 |
Where Louisiana sits
The same service costs 5.5 times more in Alaska than in Utah. 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· 20th of 51
$617
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.