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 $676.08 Median $3,235.94 Typical High $4,365.16 | Facility | None | $676.08 | $3,235.94 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $4,073.80 Typical High $4,466.84 | Professional | None | $3,548.13 | $4,073.80 | $4,466.84 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3,467.37 Median $4,073.80 Typical High $4,466.84 | Professional | None | $3,467.37 | $4,073.80 | $4,466.84 |
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 $1,047.13 Typical High $1,621.81 | Facility | None | $524.81 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $4,677.35 | Professional | None | $1,995.26 | $3,235.94 | $4,677.35 |
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 $2,238.72 Median $3,019.95 Typical High $5,248.07 | Professional | None | $2,238.72 | $3,019.95 | $5,248.07 |
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 $1,778.28 Median $2,041.74 Typical High $2,187.76 | Professional | 52 · Reduced service | $1,778.28 | $2,041.74 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $812.83 Typical High $891.25 | Professional | 53 · Discontinued | $707.95 | $812.83 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,691.53 Median $3,090.30 Typical High $3,311.31 | Professional | 54 · Surgery only | $2,691.53 | $3,090.30 | $3,311.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $616.60 Typical High $660.69 | Professional | 55 · Aftercare only | $537.03 | $616.60 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $407.38 Typical High $446.68 | Professional | 56 · Pre-op care only | $354.81 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,511.89 Median $2,884.03 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $2,511.89 | $2,884.03 | $3,090.30 |
Where Louisiana sits
The same service costs 17.0 times more in Alaska than in Texas. 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· 22nd of 51
$3,388
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.