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 $1,513.56 Median $1,819.70 Typical High $1,949.84 | Professional | None | $1,513.56 | $1,819.70 | $1,949.84 |
BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $8,912.51 Typical High $12,589.25 | Facility | None | $5,011.87 | $8,912.51 | $12,589.25 |
BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,479.11 | $1,737.80 | $1,905.46 |
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 $851.14 Median $1,445.44 Typical High $1,862.09 | Professional | None | $851.14 | $1,445.44 | $1,862.09 |
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 $1,023.29 Median $1,288.25 Typical High $2,187.76 | Professional | None | $1,023.29 | $1,288.25 | $2,187.76 |
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 $758.58 Median $912.01 Typical High $977.24 | Professional | 52 · Reduced service | $758.58 | $912.01 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $363.08 Typical High $389.05 | Professional | 53 · Discontinued | $302.00 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,348.96 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,148.15 | $1,348.96 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $275.42 Typical High $295.12 | Professional | 55 · Aftercare only | $229.09 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $181.97 Typical High $194.98 | Professional | 56 · Pre-op care only | $151.36 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,258.93 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,258.93 | $1,380.38 |
Where Louisiana sits
The same service costs 5.8 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· 19th 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.