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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $549.54 | Professional | None | $446.68 | $478.63 | $549.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $501.19 | Professional | None | $389.05 | $457.09 | $501.19 |
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 $512.86 Median $758.58 Typical High $1,513.56 | Facility | None | $512.86 | $758.58 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $616.60 | Professional | None | $281.84 | $389.05 | $616.60 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $741.31 | Professional | None | $371.54 | $501.19 | $741.31 |
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 $223.87 Median $239.88 Typical High $275.42 | Professional | 52 · Reduced service | $223.87 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $109.65 | Professional | 53 · Discontinued | $89.13 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $363.08 Typical High $407.38 | Professional | 54 · Surgery only | $331.13 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $72.44 Typical High $81.28 | Professional | 55 · Aftercare only | $66.07 | $72.44 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $47.86 Typical High $54.95 | Professional | 56 · Pre-op care only | $44.67 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $338.84 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $309.03 | $338.84 | $380.19 |
Where Louisiana sits
The same service costs 6.0 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· 36th of 51
$501
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.