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 $2,398.83 Typical High $3,890.45 | Facility | None | $676.08 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,148.15 | Professional | None | $954.99 | $1,000.00 | $1,148.15 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,137.96 Median $2,454.71 Typical High $8,128.31 | Facility | None | $2,137.96 | $2,454.71 | $8,128.31 |
BCBS Louisiana Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,202.26 | Professional | None | $870.96 | $1,096.48 | $1,202.26 |
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 $645.65 Median $1,348.96 Typical High $3,019.95 | Facility | None | $645.65 | $1,348.96 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,122.02 | Professional | None | $524.81 | $891.25 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,288.25 | Professional | None | $630.96 | $812.83 | $1,288.25 |
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 $478.63 Median $501.19 Typical High $549.54 | Professional | 52 · Reduced service | $478.63 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $199.53 Typical High $218.78 | Professional | 53 · Discontinued | $190.55 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $741.31 Typical High $831.76 | Professional | 54 · Surgery only | $724.44 | $741.31 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $147.91 Typical High $165.96 | Professional | 55 · Aftercare only | $144.54 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $100.00 Typical High $109.65 | Professional | 56 · Pre-op care only | $95.50 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $691.83 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $676.08 | $691.83 | $776.25 |
Where Louisiana sits
The same service costs 5.8 times more in Alaska 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
$1,202
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.