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 $407.38 Median $1,288.25 Typical High $3,467.37 | Facility | None | $407.38 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $549.54 | Professional | None | $389.05 | $398.11 | $549.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $6,165.95 | Facility | None | $2,041.74 | $2,570.40 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $562.34 | Professional | None | $389.05 | $478.63 | $562.34 |
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 $331.13 Median $645.65 Typical High $2,754.23 | Facility | None | $331.13 | $645.65 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $602.56 | Professional | None | $245.47 | $416.87 | $602.56 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Facility | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $575.44 | Professional | None | $281.84 | $363.08 | $575.44 |
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 $190.55 Median $199.53 Typical High $239.88 | Professional | 52 · Reduced service | $190.55 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $95.50 | Professional | 53 · Discontinued | $77.62 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $302.00 Typical High $354.81 | Professional | 54 · Surgery only | $288.40 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $60.26 Typical High $70.79 | Professional | 55 · Aftercare only | $57.54 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $39.81 Typical High $47.86 | Professional | 56 · Pre-op care only | $38.90 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $281.84 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $269.15 | $281.84 | $331.13 |
Where Louisiana sits
The same service costs 8.5 times more in Oklahoma 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· 17th of 51
$603
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.