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 $562.34 Median $1,862.09 Typical High $3,715.35 | Facility | None | $562.34 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $562.34 Typical High $660.69 | Professional | None | $549.54 | $562.34 | $660.69 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $6,165.95 | Facility | None | $1,949.84 | $2,454.71 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $707.95 | Professional | None | $501.19 | $630.96 | $707.95 |
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 $302.00 Median $512.86 Typical High $645.65 | Professional | None | $302.00 | $512.86 | $645.65 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,025.60 | Facility | None | $851.14 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $758.58 | Professional | None | $363.08 | $457.09 | $758.58 |
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 $275.42 Median $281.84 Typical High $316.23 | Professional | 52 · Reduced service | $275.42 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $114.82 Typical High $125.89 | Professional | 53 · Discontinued | $109.65 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $426.58 Typical High $467.74 | Professional | 54 · Surgery only | $416.87 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $85.11 Typical High $95.50 | Professional | 55 · Aftercare only | $83.18 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $56.23 Typical High $63.10 | Professional | 56 · Pre-op care only | $54.95 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $398.11 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $389.05 | $398.11 | $436.52 |
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
$759
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.