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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $575.44 | Professional | None | $478.63 | $501.19 | $575.44 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $7,413.10 | Facility | None | $2,137.96 | $3,090.30 | $7,413.10 |
BCBS Louisiana Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $616.60 | Professional | None | $436.52 | $562.34 | $616.60 |
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 $446.68 Median $776.25 Typical High $2,754.23 | Facility | None | $446.68 | $776.25 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $457.09 Typical High $575.44 | Professional | None | $269.15 | $457.09 | $575.44 |
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 $323.59 Median $407.38 Typical High $660.69 | Professional | None | $323.59 | $407.38 | $660.69 |
2 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 54 · Surgery only Typical Low $363.08 Median $371.54 Typical High $416.87 | Professional | 54 · Surgery only | $363.08 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $346.74 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $338.84 | $346.74 | $389.05 |
Where Louisiana sits
The same service costs 6.2 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· 15th of 51
$676
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.