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 $512.86 Median $1,513.56 Typical High $3,548.13 | Facility | None | $512.86 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $1,548.82 Typical High $2,290.87 | Professional | None | $489.78 | $1,548.82 | $2,290.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,479.11 Median $3,981.07 Typical High $11,748.98 | Facility | None | $1,479.11 | $3,981.07 | $11,748.98 |
BCBS Louisiana Setting Professional Modifier None Typical Low $524.81 Median $1,202.26 Typical High $2,137.96 | Professional | None | $524.81 | $1,202.26 | $2,137.96 |
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 $2,089.30 | Facility | None | $524.81 | $1,047.13 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $933.25 Typical High $1,905.46 | Professional | None | $426.58 | $933.25 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $10,715.19 | Facility | None | $1,202.26 | $3,019.95 | $10,715.19 |
United Setting Professional Modifier None Typical Low $389.05 Median $1,348.96 Typical High $3,388.44 | Professional | None | $389.05 | $1,348.96 | $3,388.44 |
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 $245.47 Median $524.81 Typical High $1,148.15 | Professional | 52 · Reduced service | $245.47 | $524.81 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $208.93 Typical High $457.09 | Professional | 53 · Discontinued | $97.72 | $208.93 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $794.33 Typical High $1,698.24 | Professional | 54 · Surgery only | $363.08 | $794.33 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $158.49 Typical High $338.84 | Professional | 55 · Aftercare only | $72.44 | $158.49 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $104.71 Typical High $229.09 | Professional | 56 · Pre-op care only | $48.98 | $104.71 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $741.31 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $338.84 | $741.31 | $1,584.89 |
Where Louisiana sits
The same service costs 4.9 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· 19th of 51
$1,660
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.