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 $575.44 Median $1,513.56 Typical High $3,548.13 | Facility | None | $575.44 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,584.89 | $1,698.24 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $6,760.83 | Facility | None | $1,778.28 | $2,187.76 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,513.56 | $1,698.24 |
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 $1,000.00 Typical High $1,778.28 | Facility | None | $524.81 | $1,000.00 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,318.26 Typical High $1,621.81 | Professional | None | $758.58 | $1,318.26 | $1,621.81 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,754.40 | Facility | None | $851.14 | $1,548.82 | $5,754.40 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,862.09 | Professional | None | $891.25 | $1,122.02 | $1,862.09 |
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 $660.69 Median $794.33 Typical High $851.14 | Professional | 52 · Reduced service | $660.69 | $794.33 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $316.23 Typical High $338.84 | Professional | 53 · Discontinued | $269.15 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,202.26 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,000.00 | $1,202.26 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $239.88 Typical High $257.04 | Professional | 55 · Aftercare only | $199.53 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $158.49 Typical High $169.82 | Professional | 56 · Pre-op care only | $134.90 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,122.02 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $933.25 | $1,122.02 | $1,202.26 |
Where Louisiana sits
The same service costs 5.9 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· 17th of 51
$1,585
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.