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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,348.96 | Professional | None | $1,047.13 | $1,258.93 | $1,348.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $9,332.54 Median $17,378.01 Typical High $36,307.81 | Facility | None | $9,332.54 | $17,378.01 | $36,307.81 |
BCBS Louisiana Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,318.26 | Professional | None | $977.24 | $1,174.90 | $1,318.26 |
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 $28,183.83 | Facility | None | $501.19 | $831.76 | $28,183.83 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,000.00 Typical High $1,258.93 | Professional | None | $588.84 | $1,000.00 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $7,762.47 Typical High $25,703.96 | Facility | None | $1,621.81 | $7,762.47 | $25,703.96 |
United Setting Professional Modifier None Typical Low $707.95 Median $912.01 Typical High $1,479.11 | Professional | None | $707.95 | $912.01 | $1,479.11 |
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 $524.81 Median $616.60 Typical High $676.08 | Professional | 52 · Reduced service | $524.81 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $251.19 Typical High $269.15 | Professional | 53 · Discontinued | $208.93 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $933.25 Typical High $1,000.00 | Professional | 54 · Surgery only | $776.25 | $933.25 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $186.21 Typical High $199.53 | Professional | 55 · Aftercare only | $158.49 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $125.89 Typical High $134.90 | Professional | 56 · Pre-op care only | $104.71 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $870.96 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $724.44 | $870.96 | $933.25 |
Where Louisiana sits
The same service costs 6.8 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
$1,380
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.