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 $208.93 Median $263.03 Typical High $331.13 | Professional | None | $208.93 | $263.03 | $331.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $117.49 Median $2,511.89 Typical High $6,165.95 | Facility | None | $117.49 | $2,511.89 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $380.19 | Professional | None | $239.88 | $295.12 | $380.19 |
Christus Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $645.65 Typical High $2,754.23 | Facility | None | $331.13 | $645.65 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $407.38 | Professional | None | $165.96 | $257.04 | $407.38 |
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 $173.78 Median $229.09 Typical High $354.81 | Professional | None | $173.78 | $229.09 | $354.81 |
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 $104.71 Median $125.89 Typical High $147.91 | Professional | 52 · Reduced service | $104.71 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $50.12 Typical High $58.88 | Professional | 53 · Discontinued | $41.69 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $190.55 Typical High $223.87 | Professional | 54 · Surgery only | $158.49 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $38.02 Typical High $44.67 | Professional | 55 · Aftercare only | $31.62 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $25.12 Typical High $29.51 | Professional | 56 · Pre-op care only | $20.89 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $177.83 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $147.91 | $177.83 | $208.93 |
Where Louisiana sits
The same service costs 4.4 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· 24th of 51
$309
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.