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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $204.17 | Professional | None | $123.03 | $158.49 | $204.17 |
BCBS Louisiana Setting Facility Modifier None Typical Low $151.36 Median $2,570.40 Typical High $6,165.95 | Facility | None | $151.36 | $2,570.40 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $257.04 | Professional | None | $147.91 | $177.83 | $257.04 |
Christus Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $524.81 Typical High $1,174.90 | Facility | None | $125.89 | $524.81 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $269.15 | Professional | None | $112.20 | $165.96 | $269.15 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Facility | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $218.78 | Professional | None | $97.72 | $138.04 | $218.78 |
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 $61.66 Median $77.62 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $77.62 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $117.49 Typical High $131.83 | Professional | 54 · Surgery only | $91.20 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $23.44 Typical High $26.30 | Professional | 55 · Aftercare only | $18.20 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $15.49 Typical High $17.38 | Professional | 56 · Pre-op care only | $12.30 | $15.49 | $17.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $109.65 Typical High $123.03 | Professional | 78 · Unplanned return to OR | $85.11 | $109.65 | $123.03 |
Where Louisiana sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$178
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.