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 $660.69 Median $2,398.83 Typical High $3,890.45 | Facility | None | $660.69 | $2,398.83 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $758.58 | Professional | None | $660.69 | $691.83 | $758.58 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $8,511.38 | Facility | None | $2,137.96 | $3,162.28 | $8,511.38 |
BCBS Louisiana Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $851.14 | Professional | None | $616.60 | $758.58 | $851.14 |
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 $3,090.30 | Facility | None | $645.65 | $1,348.96 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $616.60 Typical High $776.25 | Professional | None | $371.54 | $616.60 | $776.25 |
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 $446.68 Median $549.54 Typical High $912.01 | Professional | None | $446.68 | $549.54 | $912.01 |
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 $331.13 Median $346.74 Typical High $380.19 | Professional | 52 · Reduced service | $331.13 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $138.04 Typical High $151.36 | Professional | 53 · Discontinued | $134.90 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $512.86 Typical High $575.44 | Professional | 54 · Surgery only | $501.19 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $100.00 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $75.86 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $478.63 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $467.74 | $478.63 | $537.03 |
Where Louisiana sits
The same service costs 10.0 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· 15th of 51
$933
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.