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 $549.54 Median $1,862.09 Typical High $3,715.35 | Facility | None | $549.54 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $707.95 | Professional | None | $501.19 | $512.86 | $707.95 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $5,370.32 | Facility | None | $2,041.74 | $2,398.83 | $5,370.32 |
BCBS Louisiana Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $691.83 | Professional | None | $512.86 | $616.60 | $691.83 |
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 $1,071.52 Typical High $2,754.23 | Facility | None | $524.81 | $1,071.52 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $512.86 Typical High $741.31 | Professional | None | $302.00 | $512.86 | $741.31 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $5,888.44 | Facility | None | $831.76 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $758.58 | Professional | None | $389.05 | $478.63 | $758.58 |
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 $251.19 Median $257.04 Typical High $309.03 | Professional | 52 · Reduced service | $251.19 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $102.33 Typical High $123.03 | Professional | 53 · Discontinued | $100.00 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $389.05 Typical High $467.74 | Professional | 54 · Surgery only | $371.54 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $77.62 Typical High $93.33 | Professional | 55 · Aftercare only | $75.86 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $51.29 Typical High $61.66 | Professional | 56 · Pre-op care only | $50.12 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $363.08 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $346.74 | $363.08 | $436.52 |
Where Louisiana sits
The same service costs 7.1 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· 13th of 51
$813
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.