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 $812.83 Median $2,691.53 Typical High $5,248.07 | Facility | None | $812.83 | $2,691.53 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,380.38 | Professional | None | $977.24 | $1,000.00 | $1,380.38 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,754.40 Median $10,471.29 Typical High $36,307.81 | Facility | None | $5,754.40 | $10,471.29 | $36,307.81 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,288.25 | Professional | None | $1,000.00 | $1,148.15 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $8,128.31 | Facility | None | $524.81 | $1,174.90 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $977.24 Typical High $1,412.54 | Professional | None | $575.44 | $977.24 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $13,489.63 | Facility | None | $1,348.96 | $3,890.45 | $13,489.63 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,548.82 | Professional | None | $758.58 | $1,023.29 | $1,548.82 |
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 $489.78 Median $501.19 Typical High $602.56 | Professional | 52 · Reduced service | $489.78 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $199.53 Typical High $239.88 | Professional | 53 · Discontinued | $194.98 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $741.31 Typical High $891.25 | Professional | 54 · Surgery only | $724.44 | $741.31 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $147.91 Typical High $177.83 | Professional | 55 · Aftercare only | $144.54 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $100.00 Typical High $120.23 | Professional | 56 · Pre-op care only | $97.72 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $691.83 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $676.08 | $691.83 | $831.76 |
Where Louisiana sits
The same service costs 11.0 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· 14th of 51
$1,445
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.