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 $398.11 Median $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $478.63 | Professional | None | $338.84 | $346.74 | $478.63 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $5,370.32 | Facility | None | $2,041.74 | $2,398.83 | $5,370.32 |
BCBS Louisiana Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $457.09 | Professional | None | $338.84 | $407.38 | $457.09 |
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 $2,754.23 | Facility | None | $524.81 | $1,071.52 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $489.78 | Professional | None | $204.17 | $346.74 | $489.78 |
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 $263.03 Median $331.13 Typical High $512.86 | Professional | None | $263.03 | $331.13 | $512.86 |
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 $169.82 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $169.82 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $83.18 | Professional | 53 · Discontinued | $67.61 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $257.04 Typical High $309.03 | Professional | 54 · Surgery only | $251.19 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $52.48 Typical High $63.10 | Professional | 55 · Aftercare only | $50.12 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $34.67 Typical High $41.69 | Professional | 56 · Pre-op care only | $33.88 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $239.88 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $234.42 | $239.88 | $288.40 |
Where Louisiana sits
The same service costs 6.0 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· 12th 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.