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 $2,454.71 Typical High $4,365.16 | Facility | None | $676.08 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $977.24 | Professional | None | $676.08 | $707.95 | $977.24 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $12,022.64 | Facility | None | $2,754.23 | $4,365.16 | $12,022.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $933.25 | Professional | None | $691.83 | $831.76 | $933.25 |
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 $707.95 Median $1,513.56 Typical High $3,801.89 | Facility | None | $707.95 | $1,513.56 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $691.83 Typical High $1,000.00 | Professional | None | $407.38 | $691.83 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $1,023.29 | Professional | None | $524.81 | $645.65 | $1,023.29 |
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 $338.84 Median $354.81 Typical High $416.87 | Professional | 52 · Reduced service | $338.84 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $141.25 Typical High $169.82 | Professional | 53 · Discontinued | $138.04 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $524.81 Typical High $630.96 | Professional | 54 · Surgery only | $512.86 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $104.71 Typical High $125.89 | Professional | 55 · Aftercare only | $102.33 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $70.79 Typical High $85.11 | Professional | 56 · Pre-op care only | $67.61 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $489.78 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $478.63 | $489.78 | $588.84 |
Where Louisiana sits
The same service costs 6.9 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· 14th 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.