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 $741.31 Median $1,862.09 Typical High $3,715.35 | Facility | None | $741.31 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,202.26 | Professional | None | $1,023.29 | $1,047.13 | $1,202.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $2,137.96 | $2,691.53 | $8,912.51 |
BCBS Louisiana Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,288.25 | Professional | None | $933.25 | $1,148.15 | $1,288.25 |
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 $2,754.23 | Facility | None | $524.81 | $1,071.52 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $977.24 Typical High $1,202.26 | Professional | None | $562.34 | $977.24 | $1,202.26 |
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 $676.08 Median $891.25 Typical High $1,380.38 | Professional | None | $676.08 | $891.25 | $1,380.38 |
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 $512.86 Median $524.81 Typical High $588.84 | Professional | 52 · Reduced service | $512.86 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $208.93 Typical High $234.42 | Professional | 53 · Discontinued | $204.17 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $794.33 Typical High $870.96 | Professional | 54 · Surgery only | $758.58 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $158.49 Typical High $173.78 | Professional | 55 · Aftercare only | $151.36 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $104.71 Typical High $117.49 | Professional | 56 · Pre-op care only | $102.33 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $741.31 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $707.95 | $741.31 | $812.83 |
Where Louisiana sits
The same service costs 7.9 times more in Oklahoma 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· 18th of 51
$1,288
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.