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 $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,479.11 | Professional | None | $1,122.02 | $1,318.26 | $1,479.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,162.28 Median $4,073.80 Typical High $9,549.93 | Facility | None | $3,162.28 | $4,073.80 | $9,549.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,380.38 | Professional | None | $1,047.13 | $1,258.93 | $1,380.38 |
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 $1,071.52 Typical High $4,365.16 | Facility | None | $524.81 | $1,071.52 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,071.52 Typical High $1,348.96 | Professional | None | $630.96 | $1,071.52 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,511.38 | Facility | None | $1,047.13 | $2,238.72 | $8,511.38 |
United Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,548.82 | Professional | None | $741.31 | $954.99 | $1,548.82 |
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 $549.54 Median $660.69 Typical High $707.95 | Professional | 52 · Reduced service | $549.54 | $660.69 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $263.03 Typical High $281.84 | Professional | 53 · Discontinued | $223.87 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,000.00 Typical High $1,071.52 | Professional | 54 · Surgery only | $831.76 | $1,000.00 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $199.53 Typical High $213.80 | Professional | 55 · Aftercare only | $165.96 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $131.83 Typical High $141.25 | Professional | 56 · Pre-op care only | $112.20 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $933.25 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $776.25 | $933.25 | $1,000.00 |
Where Louisiana sits
The same service costs 5.9 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· 21st of 51
$1,380
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.