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 $660.69 Median $2,511.89 Typical High $3,890.45 | Facility | None | $660.69 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $645.65 Typical High $891.25 | Professional | None | $630.96 | $645.65 | $891.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,238.72 | Facility | None | $1,905.46 | $2,238.72 | $2,238.72 |
BCBS Louisiana Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $870.96 | Professional | None | $645.65 | $794.33 | $870.96 |
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 $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $660.69 Typical High $954.99 | Professional | None | $389.05 | $660.69 | $954.99 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,862.09 Typical High $7,762.47 | Facility | None | $1,047.13 | $1,862.09 | $7,762.47 |
United Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $954.99 | Professional | None | $489.78 | $602.56 | $954.99 |
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 $316.23 Median $323.59 Typical High $389.05 | Professional | 52 · Reduced service | $316.23 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $128.82 Typical High $154.88 | Professional | 53 · Discontinued | $125.89 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $489.78 Typical High $588.84 | Professional | 54 · Surgery only | $478.63 | $489.78 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $97.72 Typical High $117.49 | Professional | 55 · Aftercare only | $95.50 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $64.57 Typical High $77.62 | Professional | 56 · Pre-op care only | $63.10 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $457.09 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $446.68 | $457.09 | $549.54 |
Where Louisiana sits
The same service costs 6.0 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· 23rd of 51
$813
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.