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 $891.25 Median $1,000.00 Typical High $1,122.02 | Professional | None | $891.25 | $1,000.00 | $1,122.02 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $10,000.00 | Facility | None | $3,235.94 | $4,365.16 | $10,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,230.27 | Professional | None | $891.25 | $1,096.48 | $1,230.27 |
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 $537.03 Median $933.25 Typical High $1,174.90 | Professional | None | $537.03 | $933.25 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,318.26 | Professional | None | $645.65 | $812.83 | $1,318.26 |
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 $489.78 Median $501.19 Typical High $562.34 | Professional | 52 · Reduced service | $489.78 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $199.53 Typical High $223.87 | Professional | 53 · Discontinued | $194.98 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $758.58 Typical High $831.76 | Professional | 54 · Surgery only | $724.44 | $758.58 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $151.36 Typical High $165.96 | Professional | 55 · Aftercare only | $144.54 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $100.00 Typical High $112.20 | Professional | 56 · Pre-op care only | $97.72 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $707.95 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $676.08 | $707.95 | $776.25 |
Where Louisiana sits
The same service costs 8.7 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· 17th of 51
$1,230
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.