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 $389.05 Median $1,513.56 Typical High $3,548.13 | Facility | None | $389.05 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $173.78 Typical High $213.80 | Professional | None | $134.90 | $173.78 | $213.80 |
BCBS Louisiana Setting Facility Modifier None Typical Low $120.23 Median $2,344.23 Typical High $5,248.07 | Facility | None | $120.23 | $2,344.23 | $5,248.07 |
BCBS Louisiana Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $257.04 | Professional | None | $147.91 | $181.97 | $257.04 |
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 $100.00 Median $524.81 Typical High $1,174.90 | Facility | None | $100.00 | $524.81 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $173.78 Typical High $275.42 | Professional | None | $112.20 | $173.78 | $275.42 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $5,888.44 | Facility | None | $831.76 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $239.88 | Professional | None | $114.82 | $162.18 | $239.88 |
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 $67.61 Median $85.11 Typical High $95.50 | Professional | 52 · Reduced service | $67.61 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $26.92 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $128.82 Typical High $141.25 | Professional | 54 · Surgery only | $100.00 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $25.70 Typical High $28.84 | Professional | 55 · Aftercare only | $19.95 | $25.70 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $16.98 Typical High $19.05 | Professional | 56 · Pre-op care only | $13.49 | $16.98 | $19.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $120.23 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $93.33 | $120.23 | $131.83 |
Where Louisiana sits
The same service costs 3.6 times more in Wisconsin 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· 29th of 51
$182
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.