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 $724.44 Median $2,511.89 Typical High $3,890.45 | Facility | None | $724.44 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,122.02 | Professional | None | $933.25 | $977.24 | $1,122.02 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $5,128.61 | Facility | None | $1,230.27 | $1,380.38 | $5,128.61 |
BCBS Louisiana Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,174.90 | Professional | None | $891.25 | $1,071.52 | $1,174.90 |
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 $1,000.00 Typical High $1,778.28 | Facility | None | $524.81 | $1,000.00 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $870.96 Typical High $1,096.48 | Professional | None | $512.86 | $870.96 | $1,096.48 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,754.40 | Facility | None | $851.14 | $1,548.82 | $5,754.40 |
United Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,288.25 | Professional | None | $616.60 | $794.33 | $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 $467.74 Median $478.63 Typical High $537.03 | Professional | 52 · Reduced service | $467.74 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $194.98 Typical High $213.80 | Professional | 53 · Discontinued | $186.21 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $724.44 Typical High $812.83 | Professional | 54 · Surgery only | $707.95 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $144.54 Typical High $162.18 | Professional | 55 · Aftercare only | $141.25 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $97.72 Typical High $107.15 | Professional | 56 · Pre-op care only | $93.33 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $676.08 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $660.69 | $676.08 | $758.58 |
Where Louisiana sits
The same service costs 6.0 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· 16th of 51
$1,122
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.