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 $3,890.45 | Facility | None | $676.08 | $3,235.94 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,548.13 Typical High $3,801.89 | Professional | None | $3,090.30 | $3,548.13 | $3,801.89 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $3,890.45 | Professional | None | $3,019.95 | $3,548.13 | $3,890.45 |
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 $1,737.80 Median $2,818.38 Typical High $3,981.07 | Professional | None | $1,737.80 | $2,818.38 | $3,981.07 |
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 $2,089.30 Median $2,818.38 Typical High $4,570.88 | Professional | None | $2,089.30 | $2,818.38 | $4,570.88 |
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 $1,548.82 Median $1,737.80 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,548.82 | $1,737.80 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $707.95 Typical High $758.58 | Professional | 53 · Discontinued | $616.60 | $707.95 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,630.27 Typical High $2,884.03 | Professional | 54 · Surgery only | $2,290.87 | $2,630.27 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $524.81 Typical High $575.44 | Professional | 55 · Aftercare only | $467.74 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $354.81 Typical High $380.19 | Professional | 56 · Pre-op care only | $309.03 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,454.71 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,454.71 | $2,691.53 |
Where Louisiana sits
The same service costs 7.6 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· 23rd of 51
$3,020
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.