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 $2,089.30 Median $2,398.83 Typical High $2,570.40 | Professional | None | $2,089.30 | $2,398.83 | $2,570.40 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $2,630.27 | Professional | None | $1,995.26 | $2,398.83 | $2,630.27 |
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 $1,174.90 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,174.90 | $1,905.46 | $2,754.23 |
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 $1,412.54 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,412.54 | $1,949.84 | $3,090.30 |
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 $1,047.13 Median $1,174.90 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,047.13 | $1,174.90 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $478.63 Typical High $512.86 | Professional | 53 · Discontinued | $416.87 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,778.28 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,548.82 | $1,778.28 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $354.81 Typical High $389.05 | Professional | 55 · Aftercare only | $309.03 | $354.81 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $239.88 Typical High $257.04 | Professional | 56 · Pre-op care only | $208.93 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,659.59 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,659.59 | $1,819.70 |
Where Louisiana sits
The same service costs 7.2 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
$2,089
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.