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 $524.81 Median $2,238.72 Typical High $4,365.16 | Facility | None | $524.81 | $2,238.72 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $537.03 | Professional | None | $398.11 | $446.68 | $537.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $6,025.60 | Facility | None | $1,949.84 | $2,570.40 | $6,025.60 |
BCBS Louisiana Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $478.63 | Professional | None | $363.08 | $416.87 | $478.63 |
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 $691.83 Median $1,479.11 Typical High $3,090.30 | Facility | None | $691.83 | $1,479.11 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $588.84 | Professional | None | $263.03 | $380.19 | $588.84 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Facility | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $707.95 | Professional | None | $354.81 | $467.74 | $707.95 |
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 $199.53 Median $223.87 Typical High $263.03 | Professional | 52 · Reduced service | $199.53 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $89.13 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $338.84 Typical High $398.11 | Professional | 54 · Surgery only | $295.12 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $67.61 Typical High $79.43 | Professional | 55 · Aftercare only | $60.26 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $44.67 Typical High $52.48 | Professional | 56 · Pre-op care only | $39.81 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $316.23 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $275.42 | $316.23 | $371.54 |
Where Louisiana sits
The same service costs 3.8 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
$525
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.