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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $562.34 Typical High $776.25 | Professional | None | $549.54 | $562.34 | $776.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $8,317.64 | Facility | None | $2,691.53 | $3,090.30 | $8,317.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $776.25 | Professional | None | $602.56 | $776.25 | $776.25 |
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 $512.86 Median $831.76 Typical High $3,630.78 | Facility | None | $512.86 | $831.76 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $851.14 | Professional | None | $371.54 | $588.84 | $851.14 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $6,760.83 | Facility | None | $831.76 | $1,548.82 | $6,760.83 |
United Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $812.83 | Professional | None | $416.87 | $512.86 | $812.83 |
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 $269.15 Median $281.84 Typical High $346.74 | Professional | 52 · Reduced service | $269.15 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $112.20 Typical High $138.04 | Professional | 53 · Discontinued | $109.65 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $416.87 Typical High $512.86 | Professional | 54 · Surgery only | $407.38 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $83.18 Typical High $102.33 | Professional | 55 · Aftercare only | $81.28 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $56.23 Typical High $69.18 | Professional | 56 · Pre-op care only | $54.95 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $389.05 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $380.19 | $389.05 | $478.63 |
Where Louisiana sits
The same service costs 6.5 times more in Alaska 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· 16th of 51
$776
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.