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 $457.09 Median $1,513.56 Typical High $3,548.13 | Facility | None | $457.09 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $295.12 | Professional | None | $208.93 | $213.80 | $295.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $4,570.88 | Facility | None | $1,479.11 | $1,905.46 | $4,570.88 |
BCBS Louisiana Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $288.40 | Professional | None | $208.93 | $257.04 | $288.40 |
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 $1,047.13 Typical High $2,187.76 | Facility | None | $524.81 | $1,047.13 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $309.03 | Professional | None | $138.04 | $213.80 | $309.03 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $4,365.16 | Facility | None | $446.68 | $954.99 | $4,365.16 |
United Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $323.59 | Professional | None | $158.49 | $204.17 | $323.59 |
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 $102.33 Median $107.15 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $42.66 Typical High $51.29 | Professional | 53 · Discontinued | $41.69 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $158.49 Typical High $190.55 | Professional | 54 · Surgery only | $154.88 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $31.62 Typical High $38.02 | Professional | 55 · Aftercare only | $30.90 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.38 Typical High $25.70 | Professional | 56 · Pre-op care only | $20.89 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $147.91 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $144.54 | $147.91 | $177.83 |
Where Louisiana sits
The same service costs 8.7 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· 8th of 51
$457
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.