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 $933.25 Median $3,235.94 Typical High $5,754.40 | Facility | None | $933.25 | $3,235.94 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,380.38 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,380.38 | $1,905.46 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,754.40 Median $7,244.36 Typical High $17,378.01 | Facility | None | $5,754.40 | $7,244.36 | $17,378.01 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,584.89 | $1,778.28 |
Christus Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,548.82 Typical High $8,128.31 | Facility | None | $707.95 | $1,548.82 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $1,905.46 | Professional | None | $794.33 | $1,348.96 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $13,489.63 | Facility | None | $1,348.96 | $3,801.89 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,318.26 | $2,041.74 |
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 $676.08 Median $691.83 Typical High $831.76 | Professional | 52 · Reduced service | $676.08 | $691.83 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $275.42 Typical High $331.13 | Professional | 53 · Discontinued | $269.15 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,023.29 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,000.00 | $1,023.29 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $204.17 Typical High $251.19 | Professional | 55 · Aftercare only | $199.53 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $138.04 Typical High $165.96 | Professional | 56 · Pre-op care only | $134.90 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $954.99 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $933.25 | $954.99 | $1,148.15 |
Where Louisiana sits
The same service costs 8.7 times more in Oklahoma 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· 20th of 51
$1,778
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.