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 $1,318.26 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,318.26 | $1,380.38 | $1,584.89 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $9,120.11 | Facility | None | $2,137.96 | $3,090.30 | $9,120.11 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,479.11 | $1,659.59 |
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 $724.44 Median $1,288.25 Typical High $1,548.82 | Professional | None | $724.44 | $1,288.25 | $1,548.82 |
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 $891.25 Median $1,148.15 Typical High $1,778.28 | Professional | None | $891.25 | $1,148.15 | $1,778.28 |
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 $660.69 Median $676.08 Typical High $758.58 | Professional | 52 · Reduced service | $660.69 | $676.08 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $275.42 Typical High $302.00 | Professional | 53 · Discontinued | $263.03 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,023.29 Typical High $1,148.15 | Professional | 54 · Surgery only | $977.24 | $1,023.29 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $204.17 Typical High $229.09 | Professional | 55 · Aftercare only | $199.53 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $138.04 Typical High $151.36 | Professional | 56 · Pre-op care only | $131.83 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $954.99 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $933.25 | $954.99 | $1,071.52 |
Where Louisiana sits
The same service costs 5.9 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· 16th 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.