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 $338.84 Median $1,288.25 Typical High $3,548.13 | Facility | None | $338.84 | $1,288.25 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $537.03 | Professional | None | $302.00 | $407.38 | $537.03 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $338.84 Typical High $524.81 | Professional | None | $245.47 | $338.84 | $524.81 |
BCBS Louisiana Setting Facility Modifier None Typical Low $263.03 Median $1,819.70 Typical High $6,165.95 | Facility | None | $263.03 | $1,819.70 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $562.34 | Professional | None | $295.12 | $389.05 | $562.34 |
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 $512.86 Median $851.14 Typical High $1,778.28 | Facility | None | $512.86 | $851.14 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $489.78 | Professional | None | $239.88 | $354.81 | $489.78 |
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 $223.87 Median $363.08 Typical High $630.96 | Professional | None | $223.87 | $363.08 | $630.96 |
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 $151.36 Median $181.97 Typical High $245.47 | Professional | 52 · Reduced service | $151.36 | $181.97 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $72.44 Typical High $97.72 | Professional | 53 · Discontinued | $61.66 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $269.15 Typical High $371.54 | Professional | 54 · Surgery only | $229.09 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $53.70 Typical High $74.13 | Professional | 55 · Aftercare only | $45.71 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $36.31 Typical High $48.98 | Professional | 56 · Pre-op care only | $30.20 | $36.31 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $251.19 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $213.80 | $251.19 | $346.74 |
Where Louisiana sits
The same service costs 4.6 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· 27th of 51
$437
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.