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 $676.08 Median $2,691.53 Typical High $3,890.45 | Facility | None | $676.08 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $1,096.48 | Professional | None | $891.25 | $912.01 | $1,096.48 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,677.35 Median $7,585.78 Typical High $13,803.84 | Facility | None | $4,677.35 | $7,585.78 | $13,803.84 |
BCBS Louisiana Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $1,202.26 | Professional | None | $933.25 | $1,096.48 | $1,202.26 |
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 $5,128.61 | Facility | None | $524.81 | $1,071.52 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $912.01 Typical High $1,318.26 | Professional | None | $537.03 | $912.01 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $9,549.93 | Facility | None | $1,047.13 | $2,238.72 | $9,549.93 |
United Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,412.54 | Professional | None | $691.83 | $870.96 | $1,412.54 |
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 $446.68 Median $457.09 Typical High $549.54 | Professional | 52 · Reduced service | $446.68 | $457.09 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $181.97 Typical High $218.78 | Professional | 53 · Discontinued | $177.83 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $676.08 Typical High $812.83 | Professional | 54 · Surgery only | $660.69 | $676.08 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $134.90 Typical High $165.96 | Professional | 55 · Aftercare only | $131.83 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $91.20 Typical High $109.65 | Professional | 56 · Pre-op care only | $89.13 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $630.96 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $616.60 | $630.96 | $758.58 |
Where Louisiana sits
The same service costs 6.8 times more in Oklahoma than in Texas. 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· 16th of 51
$1,288
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.