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 $1,513.56 Typical High $3,548.13 | Facility | None | $446.68 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $616.60 | Professional | None | $371.54 | $467.74 | $616.60 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $7,079.46 | Facility | None | $2,137.96 | $2,884.03 | $7,079.46 |
BCBS Louisiana Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $645.65 | Professional | None | $354.81 | $478.63 | $645.65 |
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 $501.19 Median $831.76 Typical High $2,754.23 | Facility | None | $501.19 | $831.76 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $562.34 | Professional | None | $275.42 | $416.87 | $562.34 |
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 $275.42 Median $416.87 Typical High $707.95 | Professional | None | $275.42 | $416.87 | $707.95 |
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 $186.21 Median $223.87 Typical High $281.84 | Professional | 52 · Reduced service | $186.21 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $89.13 Typical High $114.82 | Professional | 53 · Discontinued | $74.13 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $331.13 Typical High $426.58 | Professional | 54 · Surgery only | $281.84 | $331.13 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $67.61 Typical High $85.11 | Professional | 55 · Aftercare only | $56.23 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $44.67 Typical High $57.54 | Professional | 56 · Pre-op care only | $37.15 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $309.03 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $263.03 | $309.03 | $398.11 |
Where Louisiana sits
The same service costs 4.8 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
$550
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.