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 $457.09 Median $1,513.56 Typical High $3,548.13 | Facility | None | $457.09 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $1,380.38 Typical High $3,162.28 | Professional | None | $295.12 | $1,380.38 | $3,162.28 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,174.90 Median $2,137.96 Typical High $5,888.44 | Facility | None | $1,174.90 | $2,137.96 | $5,888.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $3,630.78 | Professional | None | $295.12 | $457.09 | $3,630.78 |
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 $758.58 Median $1,148.15 Typical High $2,344.23 | Facility | None | $758.58 | $1,148.15 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $691.83 Typical High $3,019.95 | Professional | None | $251.19 | $691.83 | $3,019.95 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,630.78 | Facility | None | $446.68 | $954.99 | $3,630.78 |
United Setting Professional Modifier None Typical Low $229.09 Median $1,348.96 Typical High $2,951.21 | Professional | None | $229.09 | $1,348.96 | $2,951.21 |
2 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 54 · Surgery only Typical Low $218.78 Median $467.74 Typical High $2,344.23 | Professional | 54 · Surgery only | $218.78 | $467.74 | $2,344.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $436.52 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $204.17 | $436.52 | $2,187.76 |
Where Louisiana sits
The same service costs 7.1 times more in Oregon 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· 36th 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.