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 $2,691.53 Typical High $3,890.45 | Facility | None | $676.08 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $2,754.23 | Professional | None | $2,187.76 | $2,570.40 | $2,754.23 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $2,884.03 | Professional | None | $2,187.76 | $2,570.40 | $2,884.03 |
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 $1,288.25 Median $2,041.74 Typical High $2,951.21 | Professional | None | $1,288.25 | $2,041.74 | $2,951.21 |
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 $1,513.56 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,513.56 | $2,089.30 | $3,311.31 |
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 $1,122.02 Median $1,258.93 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,122.02 | $1,258.93 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $512.86 Typical High $549.54 | Professional | 53 · Discontinued | $446.68 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,905.46 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,659.59 | $1,905.46 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $380.19 Typical High $416.87 | Professional | 55 · Aftercare only | $331.13 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $257.04 Typical High $275.42 | Professional | 56 · Pre-op care only | $223.87 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,778.28 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,778.28 | $1,949.84 |
Where Louisiana sits
The same service costs 5.9 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· 26th of 51
$2,188
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.