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 $891.25 Median $3,162.28 Typical High $5,370.32 | Facility | None | $891.25 | $3,162.28 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,122.02 | $1,548.82 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,454.71 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,454.71 | $5,128.61 | $9,549.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,318.26 | $1,445.44 |
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 $1,047.13 Typical High $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $1,584.89 | Professional | None | $645.65 | $1,096.48 | $1,584.89 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,659.59 | Professional | None | $831.76 | $1,047.13 | $1,659.59 |
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 $537.03 Median $562.34 Typical High $676.08 | Professional | 52 · Reduced service | $537.03 | $562.34 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $223.87 Typical High $269.15 | Professional | 53 · Discontinued | $218.78 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $831.76 Typical High $1,000.00 | Professional | 54 · Surgery only | $812.83 | $831.76 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $165.96 Typical High $199.53 | Professional | 55 · Aftercare only | $162.18 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $112.20 Typical High $134.90 | Professional | 56 · Pre-op care only | $109.65 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $776.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $758.58 | $776.25 | $933.25 |
Where Louisiana sits
The same service costs 6.3 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· 26th of 51
$1,202
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.