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 $501.19 Median $1,288.25 Typical High $3,467.37 | Facility | None | $501.19 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,380.38 | Professional | None | $1,202.26 | $1,230.27 | $1,380.38 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,090.30 Median $3,715.35 Typical High $8,709.64 | Facility | None | $3,090.30 | $3,715.35 | $8,709.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,348.96 | $1,513.56 |
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 $4,365.16 | Facility | None | $524.81 | $1,071.52 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $1,412.54 | Professional | None | $645.65 | $1,096.48 | $1,412.54 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,760.83 | Facility | None | $851.14 | $1,548.82 | $6,760.83 |
United Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,621.81 | Professional | None | $794.33 | $977.24 | $1,621.81 |
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 $602.56 Median $616.60 Typical High $691.83 | Professional | 52 · Reduced service | $602.56 | $616.60 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $245.47 Typical High $275.42 | Professional | 53 · Discontinued | $239.88 | $245.47 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $933.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $891.25 | $933.25 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $186.21 Typical High $204.17 | Professional | 55 · Aftercare only | $177.83 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $123.03 Typical High $138.04 | Professional | 56 · Pre-op care only | $120.23 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $870.96 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $831.76 | $870.96 | $954.99 |
Where Louisiana sits
The same service costs 5.8 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· 20th of 51
$1,349
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.