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 $2,884.03 Median $3,235.94 Typical High $3,548.13 | Professional | None | $2,884.03 | $3,235.94 | $3,548.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $8,317.64 Median $12,589.25 Typical High $17,378.01 | Facility | None | $8,317.64 | $12,589.25 | $17,378.01 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,754.23 Median $3,162.28 Typical High $3,630.78 | Professional | None | $2,754.23 | $3,162.28 | $3,630.78 |
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 $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $3,715.35 | Professional | None | $1,621.81 | $2,630.27 | $3,715.35 |
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 $1,905.46 Median $2,630.27 Typical High $4,265.80 | Professional | None | $1,905.46 | $2,630.27 | $4,265.80 |
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 $1,445.44 Median $1,621.81 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,445.44 | $1,621.81 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $660.69 Typical High $707.95 | Professional | 53 · Discontinued | $575.44 | $660.69 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,454.71 Typical High $2,691.53 | Professional | 54 · Surgery only | $2,137.96 | $2,454.71 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $489.78 Typical High $537.03 | Professional | 55 · Aftercare only | $426.58 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $323.59 Typical High $354.81 | Professional | 56 · Pre-op care only | $288.40 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,290.87 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,290.87 | $2,511.89 |
Where Louisiana sits
The same service costs 8.1 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
$2,818
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.