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 $724.44 Median $741.31 Typical High $891.25 | Professional | None | $724.44 | $741.31 | $891.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,801.89 Median $5,011.87 Typical High $9,332.54 | Facility | None | $3,801.89 | $5,011.87 | $9,332.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $977.24 | Professional | None | $741.31 | $891.25 | $977.24 |
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 $3,630.78 | Facility | None | $524.81 | $1,071.52 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $741.31 Typical High $1,047.13 | Professional | None | $436.52 | $741.31 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,317.64 | Facility | None | $1,047.13 | $2,238.72 | $8,317.64 |
United Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $1,096.48 | Professional | None | $549.54 | $691.83 | $1,096.48 |
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 $363.08 Median $371.54 Typical High $446.68 | Professional | 52 · Reduced service | $363.08 | $371.54 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $147.91 Typical High $177.83 | Professional | 53 · Discontinued | $144.54 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $562.34 Typical High $676.08 | Professional | 54 · Surgery only | $537.03 | $562.34 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $112.20 Typical High $134.90 | Professional | 55 · Aftercare only | $107.15 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $74.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $72.44 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $524.81 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $501.19 | $524.81 | $630.96 |
Where Louisiana sits
The same service costs 6.2 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· 15th of 51
$1,047
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.