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 $933.25 Median $1,122.02 Typical High $1,202.26 | Professional | None | $933.25 | $1,122.02 | $1,202.26 |
BCBS Louisiana Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,174.90 | Professional | None | $891.25 | $1,071.52 | $1,174.90 |
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 $537.03 Median $891.25 Typical High $1,148.15 | Professional | None | $537.03 | $891.25 | $1,148.15 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,495.41 | Facility | None | $851.14 | $1,548.82 | $5,495.41 |
United Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,318.26 | Professional | None | $630.96 | $794.33 | $1,318.26 |
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 $467.74 Median $562.34 Typical High $602.56 | Professional | 52 · Reduced service | $467.74 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $223.87 Typical High $239.88 | Professional | 53 · Discontinued | $186.21 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $831.76 Typical High $891.25 | Professional | 54 · Surgery only | $707.95 | $831.76 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $165.96 Typical High $181.97 | Professional | 55 · Aftercare only | $141.25 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $112.20 Typical High $120.23 | Professional | 56 · Pre-op care only | $93.33 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $776.25 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $660.69 | $776.25 | $831.76 |
Where Louisiana sits
The same service costs 5.4 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· 25th of 51
$1,023
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.