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 $575.44 Median $1,905.46 Typical High $3,715.35 | Facility | None | $575.44 | $1,905.46 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $1,584.89 Typical High $2,398.83 | Professional | None | $524.81 | $1,584.89 | $2,398.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,818.38 Median $4,365.16 Typical High $12,022.64 | Facility | None | $2,818.38 | $4,365.16 | $12,022.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $2,454.71 | Professional | None | $588.84 | $794.33 | $2,454.71 |
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 $851.14 Median $2,511.89 Typical High $5,128.61 | Facility | None | $851.14 | $2,511.89 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $1,023.29 Typical High $2,511.89 | Professional | None | $478.63 | $1,023.29 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $436.52 Median $1,548.82 Typical High $2,818.38 | Professional | None | $436.52 | $1,548.82 | $2,818.38 |
4 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 54 · Surgery only Typical Low $398.11 Median $707.95 Typical High $1,621.81 | Professional | 54 · Surgery only | $398.11 | $707.95 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $141.25 Typical High $323.59 | Professional | 55 · Aftercare only | $79.43 | $141.25 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $95.50 Typical High $213.80 | Professional | 56 · Pre-op care only | $52.48 | $95.50 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $660.69 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $371.54 | $660.69 | $1,513.56 |
Where Louisiana sits
The same service costs 4.5 times more in Alaska than in Nebraska. 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· 14th of 51
$2,042
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.