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 $524.81 Median $1,513.56 Typical High $3,548.13 | Facility | None | $524.81 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $676.08 | Professional | None | $512.86 | $616.60 | $676.08 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $6,165.95 | Facility | None | $2,089.30 | $2,754.23 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $660.69 | Professional | None | $501.19 | $588.84 | $660.69 |
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 $501.19 Median $831.76 Typical High $2,754.23 | Facility | None | $501.19 | $831.76 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $645.65 | Professional | None | $295.12 | $501.19 | $645.65 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,025.60 | Facility | None | $851.14 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $741.31 | Professional | None | $346.74 | $436.52 | $741.31 |
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 $257.04 Median $309.03 Typical High $331.13 | Professional | 52 · Reduced service | $257.04 | $309.03 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $123.03 Typical High $131.83 | Professional | 53 · Discontinued | $102.33 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $467.74 Typical High $501.19 | Professional | 54 · Surgery only | $389.05 | $467.74 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $93.33 Typical High $100.00 | Professional | 55 · Aftercare only | $77.62 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $61.66 Typical High $66.07 | Professional | 56 · Pre-op care only | $51.29 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $436.52 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $363.08 | $436.52 | $467.74 |
Where Louisiana sits
The same service costs 6.2 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· 16th of 51
$741
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.